EP1495775A1 - Portable drug delivery device having an encapsulated needle - Google Patents

Portable drug delivery device having an encapsulated needle Download PDF

Info

Publication number
EP1495775A1
EP1495775A1 EP03388049A EP03388049A EP1495775A1 EP 1495775 A1 EP1495775 A1 EP 1495775A1 EP 03388049 A EP03388049 A EP 03388049A EP 03388049 A EP03388049 A EP 03388049A EP 1495775 A1 EP1495775 A1 EP 1495775A1
Authority
EP
European Patent Office
Prior art keywords
needle
medical device
reservoir
needle portion
mounting surface
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Withdrawn
Application number
EP03388049A
Other languages
German (de)
French (fr)
Inventor
Jim Radmer
Henrik Sonderskov Klint
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Novo Nordisk AS
Original Assignee
Novo Nordisk AS
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Novo Nordisk AS filed Critical Novo Nordisk AS
Priority to EP03388049A priority Critical patent/EP1495775A1/en
Priority to AT04738960T priority patent/ATE357939T1/en
Priority to PCT/DK2004/000463 priority patent/WO2005002649A1/en
Priority to EP04738960A priority patent/EP1646412B1/en
Priority to DE602004005597T priority patent/DE602004005597T2/en
Publication of EP1495775A1 publication Critical patent/EP1495775A1/en
Priority to US11/326,550 priority patent/US7780636B2/en
Withdrawn legal-status Critical Current

Links

Images

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M5/00Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
    • A61M5/14Infusion devices, e.g. infusing by gravity; Blood infusion; Accessories therefor
    • A61M5/142Pressure infusion, e.g. using pumps
    • A61M5/14244Pressure infusion, e.g. using pumps adapted to be carried by the patient, e.g. portable on the body
    • A61M5/14248Pressure infusion, e.g. using pumps adapted to be carried by the patient, e.g. portable on the body of the skin patch type
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M5/00Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
    • A61M5/14Infusion devices, e.g. infusing by gravity; Blood infusion; Accessories therefor
    • A61M5/142Pressure infusion, e.g. using pumps
    • A61M5/14244Pressure infusion, e.g. using pumps adapted to be carried by the patient, e.g. portable on the body
    • A61M5/14248Pressure infusion, e.g. using pumps adapted to be carried by the patient, e.g. portable on the body of the skin patch type
    • A61M2005/14252Pressure infusion, e.g. using pumps adapted to be carried by the patient, e.g. portable on the body of the skin patch type with needle insertion means
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M5/00Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
    • A61M5/14Infusion devices, e.g. infusing by gravity; Blood infusion; Accessories therefor
    • A61M5/142Pressure infusion, e.g. using pumps
    • A61M5/14244Pressure infusion, e.g. using pumps adapted to be carried by the patient, e.g. portable on the body
    • A61M2005/14268Pressure infusion, e.g. using pumps adapted to be carried by the patient, e.g. portable on the body with a reusable and a disposable component
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M5/00Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
    • A61M5/14Infusion devices, e.g. infusing by gravity; Blood infusion; Accessories therefor
    • A61M5/142Pressure infusion, e.g. using pumps
    • A61M5/145Pressure infusion, e.g. using pumps using pressurised reservoirs, e.g. pressurised by means of pistons
    • A61M2005/14506Pressure infusion, e.g. using pumps using pressurised reservoirs, e.g. pressurised by means of pistons mechanically driven, e.g. spring or clockwork
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M5/00Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
    • A61M5/14Infusion devices, e.g. infusing by gravity; Blood infusion; Accessories therefor
    • A61M5/142Pressure infusion, e.g. using pumps
    • A61M5/145Pressure infusion, e.g. using pumps using pressurised reservoirs, e.g. pressurised by means of pistons
    • A61M2005/14513Pressure infusion, e.g. using pumps using pressurised reservoirs, e.g. pressurised by means of pistons with secondary fluid driving or regulating the infusion
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M5/00Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
    • A61M5/14Infusion devices, e.g. infusing by gravity; Blood infusion; Accessories therefor
    • A61M5/158Needles for infusions; Accessories therefor, e.g. for inserting infusion needles, or for holding them on the body
    • A61M2005/1581Right-angle needle-type devices
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M5/00Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
    • A61M5/14Infusion devices, e.g. infusing by gravity; Blood infusion; Accessories therefor
    • A61M5/158Needles for infusions; Accessories therefor, e.g. for inserting infusion needles, or for holding them on the body
    • A61M2005/1585Needle inserters
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M5/00Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
    • A61M5/14Infusion devices, e.g. infusing by gravity; Blood infusion; Accessories therefor
    • A61M5/142Pressure infusion, e.g. using pumps
    • A61M5/145Pressure infusion, e.g. using pumps using pressurised reservoirs, e.g. pressurised by means of pistons
    • A61M5/1452Pressure infusion, e.g. using pumps using pressurised reservoirs, e.g. pressurised by means of pistons pressurised by means of pistons
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M5/00Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
    • A61M5/14Infusion devices, e.g. infusing by gravity; Blood infusion; Accessories therefor
    • A61M5/142Pressure infusion, e.g. using pumps
    • A61M5/145Pressure infusion, e.g. using pumps using pressurised reservoirs, e.g. pressurised by means of pistons
    • A61M5/1452Pressure infusion, e.g. using pumps using pressurised reservoirs, e.g. pressurised by means of pistons pressurised by means of pistons
    • A61M5/14526Pressure infusion, e.g. using pumps using pressurised reservoirs, e.g. pressurised by means of pistons pressurised by means of pistons the piston being actuated by fluid pressure
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M5/00Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
    • A61M5/14Infusion devices, e.g. infusing by gravity; Blood infusion; Accessories therefor
    • A61M5/142Pressure infusion, e.g. using pumps
    • A61M5/145Pressure infusion, e.g. using pumps using pressurised reservoirs, e.g. pressurised by means of pistons
    • A61M5/148Pressure infusion, e.g. using pumps using pressurised reservoirs, e.g. pressurised by means of pistons flexible, e.g. independent bags
    • A61M5/1483Pressure infusion, e.g. using pumps using pressurised reservoirs, e.g. pressurised by means of pistons flexible, e.g. independent bags using flexible bags externally pressurised by fluid pressure
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M5/00Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
    • A61M5/14Infusion devices, e.g. infusing by gravity; Blood infusion; Accessories therefor
    • A61M5/142Pressure infusion, e.g. using pumps
    • A61M5/145Pressure infusion, e.g. using pumps using pressurised reservoirs, e.g. pressurised by means of pistons
    • A61M5/148Pressure infusion, e.g. using pumps using pressurised reservoirs, e.g. pressurised by means of pistons flexible, e.g. independent bags
    • A61M5/1483Pressure infusion, e.g. using pumps using pressurised reservoirs, e.g. pressurised by means of pistons flexible, e.g. independent bags using flexible bags externally pressurised by fluid pressure
    • A61M5/1486Pressure infusion, e.g. using pumps using pressurised reservoirs, e.g. pressurised by means of pistons flexible, e.g. independent bags using flexible bags externally pressurised by fluid pressure the bags being substantially completely surrounded by fluid

Definitions

  • the present invention generally relates to devices which are adapted for application to a skin surface of a user and comprise needles or needle-like members which are supplied in a sterile condition.
  • the invention relates to such devices comprising needles adapted for insertion at a selected site within the body of a subject for subcutaneous, intravenous, intramuscular or intradermal delivery of a drug to the subject, the needles also being adapted for connection to a reservoir for containing a drug.
  • Portable drug delivery devices for delivering a drug to a patient are well known and generally comprise a reservoir adapted to contain a liquid drug and having an outlet in fluid communication with a hollow infusion needle, as well as expelling means for expelling a drug out of the reservoir and through the skin of the subject via the hollow needle.
  • Such devices are often termed infusion pumps.
  • infusion pumps can be divided into two classes.
  • the first class comprises infusion pumps which are relatively expensive pumps intended for 3-4 years use, for which reason the initial cost for such a pump often is a barrier to this type of therapy.
  • the pump offer the advantages of continuous infusion of insulin, precision in dosing and optionally programmable delivery profiles and user actuated bolus infusions in connections with meals.
  • the disposable pumps generally comprises a skin-contacting mounting surface adapted for application to the skin of a subject by adhesive means, and with the infusion needle arranged such that in a situation of use it projects from the mounting surface to thereby penetrate the skin of the subject, whereby the place where the needle penetrates the skin is covered while the appliance is in use.
  • the infusion needle may be arranged to permanently project from the mounting surface such that the needle is inserted simultaneously with the application of the infusion pump. Examples of this configuration can be found in US patents 2,605,765, 4,340,048 and in EP 1 177 802. Although this configuration provides a simple and cost-effective solution, the actual user-performed piercing of the tissue with the needle is often problematic as people who are not experts in medicine are usually insufficiently practised to place such a needle correctly and they often suffer from a fear of the likely pain.
  • US patent 5,851,197 discloses an injector in which an infusion set comprising a skin-mountable surface with a protruding needle can be mounted, the injector upon actuation driving the entire infusion set into contact with a skin portion whereby the needle is inserted through the skin.
  • infusion pump devices have been proposed in which the pump device is supplied to the user with the needle in a retracted state, i.e. with the distal pointed end of the needle "hidden” inside the pump device, this allowing the user to place the pump device on the skin without the possibility of observing the needle.
  • the needle is hidden, at least some of the fear is overcome making the introduction of the needle in a second step less problematic.
  • US patents 5,858,001 and 5,814,020 disclose infusion devices of this type in which an infusion needle is arranged in an upper housing portion pivotably arranged relative to a base plate portion. In this way the user can introduce the needle by pressing the upper portion into engagement with the base plate portion.
  • US patent 5,957,895 discloses a liquid drug delivery device comprising a bent injection needle which is adapted to project through a needle aperture in the bottom surface of the housing in a situation of use.
  • a movable needle carrier is disposed in the housing for carrying the injection needle and for causing the injection end of the needle to project through the needle aperture upon movement of the needle carrier.
  • the needle is automatically inserted by the release of pre-tensioned spring means arranged within the devices, whereas in the device known from WO 02/15965 the needle is inserted by the user actively moving the hidden needle.
  • the automatic needle insertion means adds convenience for the user and may serve to overcome needle fear, such means also adds to the complexity and thus to the cost of the device, they may reduce the reliability, just as they may add to the bulkiness of the device.
  • some delivery devices are provided with needles which are brought into fluid communication with the reservoir just prior to use, e.g. as disclosed in US patents 5,858,001 and 5,957,895 in which the infusion needle is connected to the drug reservoir during actuation of the needle insertion means.
  • the needle to be introduced into the user as well as the drug to be infused will have to meet specific requirements as to sterility, such requirements adding to the costs and complexity of manufacture.
  • the present invention to provide a needle arrangement which allows a medical delivery means to be manufactured in a convenient and cost-effective manner.
  • the needle arrangement should contribute in providing a medical delivery device which allows for easy and swift needle operation yet being reliable in use.
  • a medical device comprising a mounting surface adapted for application to the skin of a subject, a first needle portion having a first pointed end adapted to penetrate the skin of the subject, and a second needle portion in fluid communication with the first needle portion and having a second end.
  • the device further comprises enclosure means being transformable from an initial configuration encapsulating the first and second needle portions in an initial sterile (or aseptic) state, to a second configuration in which the ends of the first and second needle portions are allowed to communicate with the exterior through the enclosure means, wherein the enclosure means does not enclose the mounting surface.
  • the enclosure means is arranged in the vicinity of the first and second needle ends.
  • the term “transformable” covers all situations in which a portion of the enclosure means is broken, penetrated or removed to allow communication between a needle portion and the exterior, e.g. the needle portion may be moved relative to the enclosure means, the enclosure means may be moved relative to the needle portion or an external component may be moved into communication with the needle portion through the enclosure means.
  • the type of transformation may be different for the two needle portions.
  • extrem is meant any space or structure which initially was exterior to the enclosure means and the sterile needle portions.
  • the term “vicinity” indicates that the enclosure means are arranged relative close to the enclosed needle portions, e.g. within a distance of less than 10 mm or less than 5 mm.
  • a separate unit comprising a sterile, double-ended needle which can be mounted in combination with one or more further components to form a delivery device.
  • a delivery device comprises a prefilled drug reservoir
  • the contents of this will have to provided in a sterile condition, however, in most cases it will suffice if the connecting portion of such a reservoir (e.g. a needle-penetratable septum) meets the requirements as to being "clean".
  • the medical device is transformable between an initial state in which the first and second needle portions are encapsulated within the enclosure means in an initial sterile state, and a second state in which the second needle portion is allowed to communicate with the interior of a reservoir through a first portion of the enclosure means and the first pointed needle portion projects from the mounting surface through a second portion of the enclosure means.
  • a medical device comprising a housing including the mounting surface, a reservoir adapted to contain a liquid drug and comprising an outlet means allowing the second needle portion to be arranged in fluid communication with an interior of the reservoir, and expelling means for, in a situation of use, expelling a drug out of the reservoir and through the skin of the subject via the pointed end.
  • the medical device is transformable between an initial state in which the first and second needle portions are encapsulated by the enclosure means in an initial sterile state, and a second state in which the second needle portion is in fluid communication with the interior of the reservoir through a first portion of the enclosure means and the first pointed needle portion projects from the mounting surface through a second portion of the enclosure means.
  • a medical device comprising a pump unit having a reservoir adapted to contain a liquid drug and comprising an outlet means allowing the second needle portion to be arranged in fluid communication with an interior of the reservoir, and expelling means for, in a situation of use, expelling a drug out of the reservoir and through the skin of the subject via the pointed end.
  • a receiving portion of the medical device and the reservoir unit also comprise mating coupling means allowing the pump unit to be secured to the medical device, the mating coupling means preferably being releasable.
  • fluid communication between the second needle portion and the reservoir may be established when the pump unit is attached to the medical device.
  • the pointed end of the first needle portion may be moved to a position in which it projects relative to the mounting surface when the pump unit is attached to the medical device. Alternatively, one or both of these operations are performed manually.
  • the first and second needle ends may be formed by a straight hollow needle or they may be arranged non-coaxially.
  • the above-described medical devices may comprise a generally U-formed hollow needle where the legs form the first and second needle portions.
  • the U-formed needle may be moved linearly or pivotally between an initial state and an actuated state in which the ends of the needle are inserted in a drug reservoir respectively through the skin of a user.
  • a needle unit forming the first and second needle portions may be pivoted between an initial and an actuated state, the second needle portion being arranged corresponding to a pivoting axis for the needle unit, this allowing for axial connection to a drug reservoir.
  • the mounting surface may comprises adhesive means allowing for easy attachment to a skin surface of the user. Further, the mounting surface may be provided with an aperture through which at least a portion of the first needle portion may extend in a situation of use.
  • the enclosure means may be in the form of first and second collapsible cover means encapsulating the first respectively the second needle portions, the cover means being collapsible from an initial configuration surrounding the needle portions to a collapsed configuration wherein the needle portions extend from the cover means.
  • the cover means is penetratable to sterilizing gases yet provides a sterility barrier for the encapsulated needle portions.
  • the first and second collapsible cover means may be connected to allow for sterilization through a single opening.
  • a method of manufacturing a medical device comprising the steps of providing a needle unit having a first needle portion with a first pointed end adapted to penetrate the skin of the subject, a second needle portion in fluid communication with the first needle portion and having a second end, and enclosure means encapsulating the first and second needle end portions in a sterile state, providing a base member comprising a mounting surface adapted for application to the skin of a subject, and assembling the needle unit and the base member to provide a medical device.
  • a method of manufacturing a medical device comprising the steps of providing a needle unit having a first needle portion with a first pointed end adapted to penetrate the skin of the subject, a second needle portion in fluid communication with the first needle portion and having a second end, and enclosure means encapsulating the first and second needle end portions in a sterile state, providing a base member comprising a mounting surface adapted for application to the skin of a subject, providing a reservoir adapted to contain a liquid drug and having an outlet means allowing the second needle portion to be arranged in fluid communication with an interior of the reservoir, providing an expelling means for, in a situation of use, expelling a drug out of the reservoir and through the pointed end, and assembling the needle unit, the base member, the reservoir and the expelling means to provide a medical device.
  • the individual components may be provided and assembled in any desirable and suitable order.
  • the assembled device may be enclosed in an outer packaging serving to protect the device and keep it in a "clean" state.
  • the needle unit may be manufactured and/or sterilized at a different location from the other component and shipped to the assembly site, this allowing for cost-effective manufacturing.
  • a fluid communication is established between a needle portion and a reservoir
  • this may be provided either via a direct connection between the needle and the reservoir (e.g. by penetrating a septum of the reservoir) or indirectly (e.g. via connection to a structure in flow communication with the reservoir, e.g. the outlet of a suction pump drawing drug from a reservoir).
  • drug is meant to encompass any drug-containing flowable medicine capable of being passed through a delivery means such as a hollow needle in a controlled manner, such as a liquid, solution, gel or fine suspension.
  • Representative drugs include pharmaceuticals such as peptides, proteins, and hormones, biologically derived or active agents, hormonal and gene based agents, nutritional formulas and other substances in both solid (dispensed) or liquid form.
  • a delivery means such as a hollow needle in a controlled manner, such as a liquid, solution, gel or fine suspension.
  • Representative drugs include pharmaceuticals such as peptides, proteins, and hormones, biologically derived or active agents, hormonal and gene based agents, nutritional formulas and other substances in both solid (dispensed) or liquid form.
  • the term “subcutaneous” infusion is meant to encompass any method of transcutaneous delivery to a subject.
  • needle defines a piercing member adapted to penetrate the skin of a subject.
  • Fig. 1 shows a perspective view of medical device in the form of a drug delivery device in accordance with aspects of the invention. More specifically, fig. 1 shows a drug delivery device 100 comprising a needle unit 110, a base member 130 with a lower mounting surface 133 adapted for application to the skin of the subject, and a separate pump unit 150.
  • the base member comprises a relatively rigid upper portion 131 attached to a more flexible adhesive patch member 132 having a lower adhesive surface providing the mounting surface per se.
  • the needle unit may be formed integrally with the base member or attached thereto as a separate unit, the two elements in combination forming a platform unit.
  • the needle unit comprises a housing 111 within which a hollow needle 112 is pivotally arranged.
  • the "downstream" portion of a needle here: the first portion
  • the "upstream" portion of a needle here: the second portion
  • the proximal portion is referred to as the proximal portion.
  • the housing comprises first and second openings (or windows) covered by first and second cover means.
  • first cover means is in the form of a needle penetratable rubber membrane 121 and the second cover membrane is in the form of a breakable paper sheet allowing components to be introduced into the interior of the housing.
  • the paper sheet is penetratable to sterilizing gases, the paper sheet, the rubber membrane and the housing in combination providing a sterility barrier for the encapsulated needle portion.
  • the needle comprises a first needle portion 113 having a first pointed end adapted to penetrate the skin of the subject, the first needle portion extending generally perpendicular to the mounting surface, and a second needle portion 114 in fluid communication with the first needle portion via an intermediate needle portion 115 and having a second pointed end, the second needle portion being arranged substantially in parallel with the mounting surface.
  • the needle is connected to the housing by a mounting member 117 allowing the needle to pivot corresponding to an axis defined by the second needle portion, whereby the needle is moveable between an initial sterile position in which the first needle portion is retracted relative to the mounting surface, and a second position in which the pointed end of the first needle portion projects through the rubber septum and relative to the mounting surface.
  • the housing also comprises a biasing member 118 biasing the needle towards the initial position.
  • the pump unit 150 comprises a housing in which a reservoir and expelling means are arranged.
  • the reservoir is adapted to contain a liquid drug (e.g. prefilled or adapted to be filled by a user) and comprises an outlet means in the form of a protruding needle penetratable septum 155 adapted to be arranged in fluid communication with the second needle portion.
  • the expelling means (not shown) is adapted for in a situation of use to expel a drug out of the reservoir and through the skin of the subject via the hollow needle.
  • the pump unit further comprises a ramp member 156 arranged next to the reservoir outlet.
  • the reservoir and expelling means may be of any suitable configuration, e.g. as disclosed with reference to figs 7A-7D.
  • the mounting platform comprises a receiving portion, the receiving portion and the pump unit comprising mating coupling means 160 allowing the pump unit to be secured to the platform unit.
  • the mating coupling means may be releasable allowing a durable or multi-use pump unit to be attached a number of times to a disposable platform unit.
  • the platform unit is mounted on the skin of a user (e.g. by adhesive means arranged on the mounting surface) and the pump unit is attached and locked to the platform unit by sliding it into engagement therewith substantially in parallel with the mounting surface.
  • the protruding septum and the ramp member is moved into engagement with the needle, thereby breaking the paper barrier cover 122, during which operation fluid communication is established between the second needle portion and the reservoir, just as the needle is pivoted from its initial to its second position, the first pointed needle end thereby penetrating the rubber membrane and the skin of the user.
  • the pump can be started. This may happen either automatically as the two units are connected or by separate user-actuatable starting means, e.g. a start button (not shown).
  • the second needle portion may be fixedly (i.e. non-rotationally) attached to the mounting member 117, the intermediate needle portion 115 being elastically bend as it is forced downwardly by the ramp member 156.
  • the biasing member 118 may be dispensed with.
  • Figs. 2A and 2B show a further embodiment of a needle unit. More specifically, fig. 2A shows a needle unit 200 comprising a needle carrier 230 to which a U-formed needle 210 and a cover member 220 are attached.
  • the needle comprises a first needle portion 213 having a first pointed end adapted to penetrate the skin of a subject, and a second needle portion 214 in fluid communication with the first needle portion via an intermediate needle portion 215 and having a second pointed end, the two needle portion being arranged substantially in parallel with each other corresponding to the legs of the U-formed needle.
  • the carrier comprises gripping means 231, 232 for holding the needle, hinge means 233 allowing the needle unit to be pivotally connected to a delivery device, and a number of hook members 235, 236 intended for engagement with the delivery device (not relevant for the present invention).
  • the cover member is made from a deformable elastic or non-elastic material and comprises first and second collapsible cover portions 221, 222 encapsulating the first respectively the second needle portions, the cover portions being collapsible from an initial configuration surrounding the needle portions to a collapsed configuration (e.g. in the form of an elastic rubber cover as shown or a telescoping arrangement) wherein the needle portions extend through the cover portions (see below).
  • the cover portions are in the form of a bellows and a rounded cylinder, however, they may have any configuration allowing them to collapse.
  • the two cover portions are connected by an intermediate portion 225 which in combination with the carrier forms a conduit providing fluid communication between the first and second enclosures formed by the two cover portions, the intermediate portion comprising a window 226 closed by a paper sheet 227.
  • the paper sheet is penetratable to sterilizing gases (e.g. water vapour or ethylene gas) yet provides a sterility barrier for the encapsulated, this allowing sterilization of the enclosed needle.
  • Figs. 3A and 3B show cross-sectionals view of the needle unit 200 incorporated in a drug delivery device 250.
  • the drug delivery device comprises a base plate 251 with a lower skin mountable surface 252 and an aperture 253, a housing member 255 forming a secondary reservoir 256 containing a drive fluid (see description of the fig. 7D embodiment below) and in which a flexible, bag-like drug reservoir 260 is arranged, the drug reservoir comprising a needle-penetratable elastomeric septum 261.
  • the needle unit is pivotally connected to the housing member, the carrier 230 thereby forming a lid member.
  • the lid member is part of a relatively small needle unit, however, the lid may also be formed integrally with the housing member, the two portions being connected by e.g. a film hinge, in which case the needle unit would incorporate a portion of the drug delivery device.
  • Fig. 3A shows the delivery device in an initial state in which both of the needle portions 213, 214 are sterilely enclosed within the collapsible cover portions 221, 222.
  • Fig. 3B shows the delivery in a state of use in which the lid has been moved into locking engagement with the housing member (by means of the hook members, see fig. 2A).
  • the first needle portions is moved through the aperture in the base plate, thereby penetrating the skin of the user when the delivery device has been mounted on a skin surface, and the second needle portion penetrates the reservoir septum to thereby establish fluid communication between the reservoir and the needle.
  • the cover portions 221, 222 collapses as they are moved into engagement with the base plate respectively the septum, the pointed needle portions thereby penetrating the covers.
  • the movement of the needle unit may be reversed to thereby withdraw the used needle into the device and de-connect the needle from the reservoir to thereby stop the flow and/or prevent leakage.
  • Figs. 4A and 4B show in a perspective view the same situations as in figs. 3A and 3B, with the difference that the base member comprises an adhesive patch portion.
  • Fig. 5 shows a further embodiment of a needle unit 300 adapted to be connected to a housing member by a hinge allowing the needle unit to pivot corresponding to a pivoting axis defined by the hinge.
  • the needle unit comprises a needle carrier 351 having a cylindrical hinge portion 354 defining the pivoting axis, and an arm member 353 extending perpendicularly from the hinge portion in respect of the pivoting axis.
  • a biasing means is arranged in the form of a leaf spring member 355 adapted to engage a portion of the housing.
  • the needle carrier carries a needle having first and second pointed portions 313, 314 arranged substantially corresponding to the needle of the needle unit shown in fig. 1, i.e. with the second needle portion arranged correspondingly to the pivoting axis.
  • the two needle portions are provided with individual encapsulating cover members 321, 322 maintaining the needle portions in a sterile condition.
  • the cover members may be hollow members being partly or fully made from materials penetratable to sterilizing gases, or they may be in the form of "solid" foam members being either elastic collapsible or non-elastic crushable, such a foam material preferably being penetratable to sterilizing gases yet providing a sterility barrier for the encapsulated needle portions.
  • a similar crushable cover is also discussed in US patent 6,126,637, however, for the present invention it is important that such a cover fully meets the relevant requirements as to providing a sterility barrier.
  • Figs. 6A-6E show perspective views of the needle unit 301 (substantially corresponding to the needle unit 300 described above) mounted in a drug delivery device 350, however, for illustrative purposes, the needle unit is shown without encapsulating cover members.
  • a second embodiment of a drug delivery device 350 comprising an upper housing portion 360 and a lower base plate portion 370 having a mounting surface, the housing providing a cavity in which an actuation member 380 is slidingly received through an opening, the actuation element being moveable corresponding to a longitudinal direction.
  • the device further comprises a reservoir 390 and the needle unit 301.
  • the reservoir is adapted to contain a liquid drug and comprises in a situation of use an outlet in fluid communication with the infusion needle, and cooperate with expelling means (not shown for better illustrating the principles of the needle unit activation) for expelling a drug out of the reservoir and through the skin of the subject via the hollow needle.
  • the reservoir and the expelling means are mounted on the actuation member and thus moveable relative to the housing.
  • the reservoir comprises a needle-penetratable septum 391 adapted to cooperate with the second portion of the needle, the septum being arranged substantially corresponding to the pivoting axis, thereby allowing the needle unit to pivot substantially without non-rotational displacement of the inlet portion of the infusion needle relative to the septum.
  • the device also comprises an inserter spring 337 and a ramp member 347, the inserter spring being in the form of a thin rod, the ramp member being arranged to deflect the inserter spring upwards as well as sidewards.
  • the ramp surface is somewhat longer and has a concave cross-sectional configuration, this allowing the rod spring to slide thereon without accidental disengagement when the actuation member 380 is pushed into the device.
  • the ramp terminates in an obliquely oriented deflection wall 349 which will force the spring rod outwards when forced there against.
  • the rod may be formed integrally with the actuation member or attached as a separate member, e.g. as a metal string.
  • the needle unit comprises a separately formed engagement portion 357 projecting from the distal end of the carrier arm and arranged on the side of the ramp member just below the deflection wall.
  • the delivery device is actuated by pushing the actuation member into the device whereby the rod slides up the ramp for subsequently being deflected from the ramp, thereby pivoting the needle unit from its initial position to a position in which the first needle portion extends from the lower surface of the delivery device.
  • the reservoir is pushed into fluid communication with the second needle portion.
  • a delivery device comprising a reservoir, however, for better illustrating the principles of the present invention, the means for expelling a drug from the reservoir has been omitted in the figures.
  • expelling means which as the reservoir does not form part of the present invention in its basic form, may be of any type which would be suitable for arrangement within a skin-mountable drug delivery device.
  • the needle of the present invention also may be in the form of a needle sensor, the interior of the medical device may comprise sensor means adapted to cooperate with the needle sensor.
  • FIG. 7A shows a pump arrangement comprising a drug-containing cartridge 1010 forming a reservoir and having a distal closure member 1011 allowing a needle to be connected, and a piston 1015 slidingly arranged there within, a flexible toothed piston rod 1020 (for example as disclosed in US patent 6,302,869), an electric motor 1030 which via a worm-gear arrangement 1031 drives the piston rod to expel drug from the cartridge, the motor being controlled by control means 1040 and the energy for the control means and the motor being provided by a battery 1050.
  • the pump may be activated when the needle is inserted (by means not shown) or by separate user-actuatable means (not shown) after the inserter has been detached form the delivery device.
  • Fig. 7B shows a pump arrangement comprising a drug-containing cartridge 1110 having distal and proximal closure members 1111, 1112, and a piston 1115 slidingly arranged there within, gas generating means 1120 in fluid communication with the interior of the cartridge via conduit 1121 for driving the piston to expel drug from the cartridge, the gas generating means being controlled by control means 1140 and the energy for the control means and the gas generation being provided by a battery 1150.
  • the pump may be activated as indicated above.
  • a detailed disclosure of such gas generating means for a drug delivery device can be found in e.g. US patent 5,858,001.
  • Fig. 7C shows a pump arrangement comprising a drug-containing cartridge 1210 having distal and proximal closure members 1211, 1212, and a piston slidingly 1215 arranged there within, an osmotic engine 1220 in fluid communication with the interior of the cartridge via conduit 1221 for driving the piston to expel drug from the cartridge.
  • the osmotic engine comprises a first rigid reservoir 1225 containing a salt-solution and a second collapsible reservoir 1226 containing water, the two reservoirs being separated by a semi-permeable membrane 1227.
  • the fluid connection 1228 between the second reservoir and the membrane is closed by a user-severable membrane (e.g.
  • Fig. 7D shows a pump arrangement comprising a drug-containing flexible reservoir 1310 arranged within a rigid fluid-filled secondary reservoir 1311 in fluid communication with a primary reservoir 1320 through a conduit 1330 comprising a flow restrictor 1331.
  • the primary reservoir is in the form of a cartridge with a moveable piston 1321 and contains a viscous drive fluid.
  • a spring 1340 is arranged to act on the piston to drive fluid from the first to the second reservoir thereby expelling drug from the flexible reservoir when the latter is connected to an infusion needle (not shown).
  • the flow rate will be determined by the pressure generated by the spring in the drive fluid, the viscosity of the drive fluid and the flow resistance in the flow restrictor (i.e. bleeding hole principle).
  • the pump may be activated by straining the spring or by releasing a pre-stressed spring, either when the needle is inserted (by means not shown) or by separate user-actuatable means (not shown) after the inserter has been detached form the delivery device.
  • a pre-stressed spring An example of this principle used for drug infusion is known from DE 25 52 446.
  • the drug reservoir may be pressurized directly to expel the drug via a flow restrictor, e.g. as disclosed in US patent 6,074,369.
  • Fig. 7E shows a pump arrangement comprising a membrane pump 1430 having an outlet 1431 and control means 1440 for controlling the pump, the energy for the control means and the pump being provided by a battery 1450.
  • the membrane pump is (in a situation of use) connected to a reservoir 1410 from which drug is sucked through the pump and expelled through the outlet.
  • the reservoir may be provided with venting means or it may be in the form of a flexible, collapsible reservoir whereby venting means can be dispensed with.
  • the pump may be activated when the needle is inserted (by means not shown) or by separate user-actuatable means (not shown) after the inserter has been detached form the delivery device.
  • the first needle portion may be in the form of a (relatively soft) infusion cannula (e.g. Teflon ® cannula) and a therethrough arranged removable insertion needle.
  • a infusion cannula e.g. Teflon ® cannula
  • removable insertion needle e.g. Teflon ® cannula
  • This type of cannula needle arrangement is well known from so-called infusion sets, such infusion sets typically being used to provide an infusion site in combination with (durable) infusion pumps.

Abstract

The present invention relates to medical devices which are adapted for application to a skin surface of a user and comprise needles which are supplied in a sterile condition. Thus, a medical device is provided, comprising a mounting surface adapted for application to the skin of a subject, a first needle portion having a first pointed end adapted to penetrate the skin of the subject, and a second needle portion in fluid communication with the first needle portion and having a second end. The device further comprises enclosure means being transformable from an initial configuration encapsulating the first and second needle portions in an initial aseptic state, to a second configuration in which the ends of the first and second needle portions are allowed to communicate with the exterior through the enclosure means, wherein the enclosure means does not enclose the mounting surface.

Description

  • The present invention generally relates to devices which are adapted for application to a skin surface of a user and comprise needles or needle-like members which are supplied in a sterile condition. In specific aspects, the invention relates to such devices comprising needles adapted for insertion at a selected site within the body of a subject for subcutaneous, intravenous, intramuscular or intradermal delivery of a drug to the subject, the needles also being adapted for connection to a reservoir for containing a drug.
  • BACKGROUND OF THE INVENTION
  • In the disclosure of the present invention reference is mostly made to the treatment of diabetes by injection or infusion of insulin, however, this is only an exemplary use of the present invention.
  • Portable drug delivery devices for delivering a drug to a patient are well known and generally comprise a reservoir adapted to contain a liquid drug and having an outlet in fluid communication with a hollow infusion needle, as well as expelling means for expelling a drug out of the reservoir and through the skin of the subject via the hollow needle. Such devices are often termed infusion pumps.
  • Basically, infusion pumps can be divided into two classes. The first class comprises infusion pumps which are relatively expensive pumps intended for 3-4 years use, for which reason the initial cost for such a pump often is a barrier to this type of therapy. Although more complex than traditional syringes and pens, the pump offer the advantages of continuous infusion of insulin, precision in dosing and optionally programmable delivery profiles and user actuated bolus infusions in connections with meals.
  • Addressing the above problem, several attempts have been made to provide a second class of drug infusion devices that are low in cost and convenient to use. Some of these devices are intended to be partially or entirely disposable and may provide many of the advantages associated with an infusion pump without the attendant cost and inconveniencies, e.g. the pump may be prefilled thus avoiding the need for filling or refilling a drug reservoir. Examples of this type of infusion devices are known from US patents 4,340,048 and 4,552,561 (based on osmotic pumps), US patent 5,858,001 (based on a piston pump), US patent 6,280,148 (based on a membrane pump), US patent 5,957,895 (based on a flow restrictor pump (also know as a bleeding hole pump)), US patent 5,527,288 (based on a gas generating pump), or US patent 5,814,020 (based on a swellable gel) which all in the last decades have been proposed for use in inexpensive, primarily disposable drug infusion devices, the cited documents being incorporated by reference.
  • The disposable pumps generally comprises a skin-contacting mounting surface adapted for application to the skin of a subject by adhesive means, and with the infusion needle arranged such that in a situation of use it projects from the mounting surface to thereby penetrate the skin of the subject, whereby the place where the needle penetrates the skin is covered while the appliance is in use.
  • The infusion needle may be arranged to permanently project from the mounting surface such that the needle is inserted simultaneously with the application of the infusion pump. Examples of this configuration can be found in US patents 2,605,765, 4,340,048 and in EP 1 177 802. Although this configuration provides a simple and cost-effective solution, the actual user-performed piercing of the tissue with the needle is often problematic as people who are not experts in medicine are usually insufficiently practised to place such a needle correctly and they often suffer from a fear of the likely pain. Although not relating specifically to infusion pumps, US patent 5,851,197 discloses an injector in which an infusion set comprising a skin-mountable surface with a protruding needle can be mounted, the injector upon actuation driving the entire infusion set into contact with a skin portion whereby the needle is inserted through the skin.
  • Addressing the above problem, infusion pump devices have been proposed in which the pump device is supplied to the user with the needle in a retracted state, i.e. with the distal pointed end of the needle "hidden" inside the pump device, this allowing the user to place the pump device on the skin without the possibility of observing the needle. When first the needle is hidden, at least some of the fear is overcome making the introduction of the needle in a second step less problematic. US patents 5,858,001 and 5,814,020 disclose infusion devices of this type in which an infusion needle is arranged in an upper housing portion pivotably arranged relative to a base plate portion. In this way the user can introduce the needle by pressing the upper portion into engagement with the base plate portion.
  • To further reduce the fear and pain associated with the introduction of the needle, many recent pump devices have been provided with actuatable needle insertion means, which just has to be released by the user after which e.g. spring means quickly will advance the needle through the skin.
  • For example, US patent 5,957,895 discloses a liquid drug delivery device comprising a bent injection needle which is adapted to project through a needle aperture in the bottom surface of the housing in a situation of use. A movable needle carrier is disposed in the housing for carrying the injection needle and for causing the injection end of the needle to project through the needle aperture upon movement of the needle carrier.
  • In the devices disclosed in US patents 5,957,895 and 5,931,814 the needle is automatically inserted by the release of pre-tensioned spring means arranged within the devices, whereas in the device known from WO 02/15965 the needle is inserted by the user actively moving the hidden needle. Although the automatic needle insertion means adds convenience for the user and may serve to overcome needle fear, such means also adds to the complexity and thus to the cost of the device, they may reduce the reliability, just as they may add to the bulkiness of the device.
  • In order to avoid e.g. drug leaking into the needle prior to use, some delivery devices are provided with needles which are brought into fluid communication with the reservoir just prior to use, e.g. as disclosed in US patents 5,858,001 and 5,957,895 in which the infusion needle is connected to the drug reservoir during actuation of the needle insertion means.
  • For all of the above types of devices the needle to be introduced into the user as well as the drug to be infused will have to meet specific requirements as to sterility, such requirements adding to the costs and complexity of manufacture.
  • DISCLOSURE OF THE INVENTION
  • Having regard to the above-identified problems, it is an object of the present invention to provide a needle arrangement which allows a medical delivery means to be manufactured in a convenient and cost-effective manner. The needle arrangement should contribute in providing a medical delivery device which allows for easy and swift needle operation yet being reliable in use.
  • Thus, corresponding to a first aspect, a medical device is provided, comprising a mounting surface adapted for application to the skin of a subject, a first needle portion having a first pointed end adapted to penetrate the skin of the subject, and a second needle portion in fluid communication with the first needle portion and having a second end. The device further comprises enclosure means being transformable from an initial configuration encapsulating the first and second needle portions in an initial sterile (or aseptic) state, to a second configuration in which the ends of the first and second needle portions are allowed to communicate with the exterior through the enclosure means, wherein the enclosure means does not enclose the mounting surface. In exemplary embodiments the enclosure means is arranged in the vicinity of the first and second needle ends.
  • The term "transformable" covers all situations in which a portion of the enclosure means is broken, penetrated or removed to allow communication between a needle portion and the exterior, e.g. the needle portion may be moved relative to the enclosure means, the enclosure means may be moved relative to the needle portion or an external component may be moved into communication with the needle portion through the enclosure means. The type of transformation may be different for the two needle portions. By the term "exterior" is meant any space or structure which initially was exterior to the enclosure means and the sterile needle portions. The term "vicinity" indicates that the enclosure means are arranged relative close to the enclosed needle portions, e.g. within a distance of less than 10 mm or less than 5 mm.
  • By this arrangement a separate unit is provided comprising a sterile, double-ended needle which can be mounted in combination with one or more further components to form a delivery device. In this way it is no longer necessary to sterilize the entire device just as it no longer necessary to keep the entire device sterile during storage. Indeed, in case the delivery device comprises a prefilled drug reservoir, the contents of this will have to provided in a sterile condition, however, in most cases it will suffice if the connecting portion of such a reservoir (e.g. a needle-penetratable septum) meets the requirements as to being "clean".
  • In an exemplary embodiment, the medical device is transformable between an initial state in which the first and second needle portions are encapsulated within the enclosure means in an initial sterile state, and a second state in which the second needle portion is allowed to communicate with the interior of a reservoir through a first portion of the enclosure means and the first pointed needle portion projects from the mounting surface through a second portion of the enclosure means.
  • In a further aspect of the invention a medical device is provided, comprising a housing including the mounting surface, a reservoir adapted to contain a liquid drug and comprising an outlet means allowing the second needle portion to be arranged in fluid communication with an interior of the reservoir, and expelling means for, in a situation of use, expelling a drug out of the reservoir and through the skin of the subject via the pointed end. Further, the medical device is transformable between an initial state in which the first and second needle portions are encapsulated by the enclosure means in an initial sterile state, and a second state in which the second needle portion is in fluid communication with the interior of the reservoir through a first portion of the enclosure means and the first pointed needle portion projects from the mounting surface through a second portion of the enclosure means.
  • In a yet further aspect of the invention a medical device is provided, comprising a pump unit having a reservoir adapted to contain a liquid drug and comprising an outlet means allowing the second needle portion to be arranged in fluid communication with an interior of the reservoir, and expelling means for, in a situation of use, expelling a drug out of the reservoir and through the skin of the subject via the pointed end. Further, a receiving portion of the medical device and the reservoir unit also comprise mating coupling means allowing the pump unit to be secured to the medical device, the mating coupling means preferably being releasable.
  • Advantageously, fluid communication between the second needle portion and the reservoir may be established when the pump unit is attached to the medical device. In addition, the pointed end of the first needle portion may be moved to a position in which it projects relative to the mounting surface when the pump unit is attached to the medical device. Alternatively, one or both of these operations are performed manually.
  • Depending on the actual configuration of the medical device, the first and second needle ends may be formed by a straight hollow needle or they may be arranged non-coaxially. For example, the above-described medical devices may comprise a generally U-formed hollow needle where the legs form the first and second needle portions. The U-formed needle may be moved linearly or pivotally between an initial state and an actuated state in which the ends of the needle are inserted in a drug reservoir respectively through the skin of a user. Alternatively, a needle unit forming the first and second needle portions, may be pivoted between an initial and an actuated state, the second needle portion being arranged corresponding to a pivoting axis for the needle unit, this allowing for axial connection to a drug reservoir.
  • For the above-described medical devices, the mounting surface may comprises adhesive means allowing for easy attachment to a skin surface of the user. Further, the mounting surface may be provided with an aperture through which at least a portion of the first needle portion may extend in a situation of use.
  • For all of the above-described medical devices, the enclosure means may be in the form of first and second collapsible cover means encapsulating the first respectively the second needle portions, the cover means being collapsible from an initial configuration surrounding the needle portions to a collapsed configuration wherein the needle portions extend from the cover means. Advantageously, at least a portion of the cover means is penetratable to sterilizing gases yet provides a sterility barrier for the encapsulated needle portions. Further, the first and second collapsible cover means may be connected to allow for sterilization through a single opening.
  • In a further aspect of the invention a method of manufacturing a medical device is provided, comprising the steps of providing a needle unit having a first needle portion with a first pointed end adapted to penetrate the skin of the subject, a second needle portion in fluid communication with the first needle portion and having a second end, and enclosure means encapsulating the first and second needle end portions in a sterile state, providing a base member comprising a mounting surface adapted for application to the skin of a subject, and assembling the needle unit and the base member to provide a medical device.
  • In further aspect of the invention a method of manufacturing a medical device is provided, comprising the steps of providing a needle unit having a first needle portion with a first pointed end adapted to penetrate the skin of the subject, a second needle portion in fluid communication with the first needle portion and having a second end, and enclosure means encapsulating the first and second needle end portions in a sterile state, providing a base member comprising a mounting surface adapted for application to the skin of a subject, providing a reservoir adapted to contain a liquid drug and having an outlet means allowing the second needle portion to be arranged in fluid communication with an interior of the reservoir, providing an expelling means for, in a situation of use, expelling a drug out of the reservoir and through the pointed end, and assembling the needle unit, the base member, the reservoir and the expelling means to provide a medical device.
  • In the above methods of manufacturing, the individual components may be provided and assembled in any desirable and suitable order. After assembly, the assembled device may be enclosed in an outer packaging serving to protect the device and keep it in a "clean" state.
  • As appears, by these methods of manufacturing a medical device, only a small portion of the entire device will have to be sterilized. Further, the needle unit may be manufactured and/or sterilized at a different location from the other component and shipped to the assembly site, this allowing for cost-effective manufacturing.
  • For all of the above embodiments in which a fluid communication is established between a needle portion and a reservoir, this may be provided either via a direct connection between the needle and the reservoir (e.g. by penetrating a septum of the reservoir) or indirectly (e.g. via connection to a structure in flow communication with the reservoir, e.g. the outlet of a suction pump drawing drug from a reservoir).
  • As used herein, the term "drug" is meant to encompass any drug-containing flowable medicine capable of being passed through a delivery means such as a hollow needle in a controlled manner, such as a liquid, solution, gel or fine suspension. Representative drugs include pharmaceuticals such as peptides, proteins, and hormones, biologically derived or active agents, hormonal and gene based agents, nutritional formulas and other substances in both solid (dispensed) or liquid form. In the description of the exemplary embodiments reference will be made to the use of insulin. Correspondingly, the term "subcutaneous" infusion is meant to encompass any method of transcutaneous delivery to a subject. Further, the term needle (when not otherwise specified) defines a piercing member adapted to penetrate the skin of a subject.
  • BRIEF DESCRIPTION OF THE DRAWINGS
  • In the following the invention will be further described with references to the drawings, wherein
  • fig. 1 shows a perspective view of a drug delivery device comprising a first embodiment of a needle unit,
  • fig. 2A shows a further embodiment of a needle unit,
  • fig. 2B shows an exploded view of the needle unit of fig. 2A,
  • figs. 3A and 3B show cross-sectionals view of the needle unit fig. 2A mounted to a drug delivery device,
  • figs. 4A and 4B show in perspective views delivery devices corresponding to figs. 3A and 3B,
  • fig. 5 shows a further embodiment of a needle unit,
  • fig. 6A shows in a perspective view a second embodiment of a medical device gripped by a user corresponding to a first state of use,
  • fig. 6B shows the device of fig. 4A with a portion of the housing cut off,
  • fig. 6C shows the device of fig. 4A with a portion of the housing removed,
  • fig. 6D shows the device of fig. 4A seen from a different angle with a portion of the housing cut off,
  • fig. 6E shows the device of fig. 4D with a portion of the housing removed, and
  • figs. 7A-7E shows different expelling means suitable for use with the invention.
  • In the figures like structures are identified by like reference numerals.
  • DESCRIPTION OF EXEMPLARY EMBODIMENTS
  • When in the following terms as "upper" and "lower", "right" and "left", "horizontal" and "vertical" or similar relative expressions are used, these only refer to the appended figures and not to an actual situation of use. The shown figures are schematic representations for which reason the configuration of the different structures as well as there relative dimensions are intended to serve illustrative purposes only.
  • Fig. 1 shows a perspective view of medical device in the form of a drug delivery device in accordance with aspects of the invention. More specifically, fig. 1 shows a drug delivery device 100 comprising a needle unit 110, a base member 130 with a lower mounting surface 133 adapted for application to the skin of the subject, and a separate pump unit 150. In the shown embodiment the base member comprises a relatively rigid upper portion 131 attached to a more flexible adhesive patch member 132 having a lower adhesive surface providing the mounting surface per se. The needle unit may be formed integrally with the base member or attached thereto as a separate unit, the two elements in combination forming a platform unit. In the shown embodiment the needle unit comprises a housing 111 within which a hollow needle 112 is pivotally arranged. Often, the "downstream" portion of a needle (here: the first portion) is referred to as the distal portion, and the "upstream" portion of a needle (here: the second portion) is referred to as the proximal portion.
  • The housing comprises first and second openings (or windows) covered by first and second cover means. In the shown embodiment the first cover means is in the form of a needle penetratable rubber membrane 121 and the second cover membrane is in the form of a breakable paper sheet allowing components to be introduced into the interior of the housing. The paper sheet is penetratable to sterilizing gases, the paper sheet, the rubber membrane and the housing in combination providing a sterility barrier for the encapsulated needle portion.
  • The needle comprises a first needle portion 113 having a first pointed end adapted to penetrate the skin of the subject, the first needle portion extending generally perpendicular to the mounting surface, and a second needle portion 114 in fluid communication with the first needle portion via an intermediate needle portion 115 and having a second pointed end, the second needle portion being arranged substantially in parallel with the mounting surface. The needle is connected to the housing by a mounting member 117 allowing the needle to pivot corresponding to an axis defined by the second needle portion, whereby the needle is moveable between an initial sterile position in which the first needle portion is retracted relative to the mounting surface, and a second position in which the pointed end of the first needle portion projects through the rubber septum and relative to the mounting surface. The housing also comprises a biasing member 118 biasing the needle towards the initial position.
  • The pump unit 150 comprises a housing in which a reservoir and expelling means are arranged. The reservoir is adapted to contain a liquid drug (e.g. prefilled or adapted to be filled by a user) and comprises an outlet means in the form of a protruding needle penetratable septum 155 adapted to be arranged in fluid communication with the second needle portion. The expelling means (not shown) is adapted for in a situation of use to expel a drug out of the reservoir and through the skin of the subject via the hollow needle. The pump unit further comprises a ramp member 156 arranged next to the reservoir outlet. The reservoir and expelling means may be of any suitable configuration, e.g. as disclosed with reference to figs 7A-7D.
  • The mounting platform comprises a receiving portion, the receiving portion and the pump unit comprising mating coupling means 160 allowing the pump unit to be secured to the platform unit. The mating coupling means may be releasable allowing a durable or multi-use pump unit to be attached a number of times to a disposable platform unit. *
  • In a situation of use, the platform unit is mounted on the skin of a user (e.g. by adhesive means arranged on the mounting surface) and the pump unit is attached and locked to the platform unit by sliding it into engagement therewith substantially in parallel with the mounting surface. During the latter operation the protruding septum and the ramp member is moved into engagement with the needle, thereby breaking the paper barrier cover 122, during which operation fluid communication is established between the second needle portion and the reservoir, just as the needle is pivoted from its initial to its second position, the first pointed needle end thereby penetrating the rubber membrane and the skin of the user.
  • After the pump unit has been connected and the needle introduced subcutaneously, the pump can be started. This may happen either automatically as the two units are connected or by separate user-actuatable starting means, e.g. a start button (not shown).
  • In an alternative embodiment (not shown), the second needle portion may be fixedly (i.e. non-rotationally) attached to the mounting member 117, the intermediate needle portion 115 being elastically bend as it is forced downwardly by the ramp member 156. In such an arrangement the biasing member 118 may be dispensed with.
  • Figs. 2A and 2B show a further embodiment of a needle unit. More specifically, fig. 2A shows a needle unit 200 comprising a needle carrier 230 to which a U-formed needle 210 and a cover member 220 are attached. The needle comprises a first needle portion 213 having a first pointed end adapted to penetrate the skin of a subject, and a second needle portion 214 in fluid communication with the first needle portion via an intermediate needle portion 215 and having a second pointed end, the two needle portion being arranged substantially in parallel with each other corresponding to the legs of the U-formed needle. The carrier comprises gripping means 231, 232 for holding the needle, hinge means 233 allowing the needle unit to be pivotally connected to a delivery device, and a number of hook members 235, 236 intended for engagement with the delivery device (not relevant for the present invention).
  • The cover member is made from a deformable elastic or non-elastic material and comprises first and second collapsible cover portions 221, 222 encapsulating the first respectively the second needle portions, the cover portions being collapsible from an initial configuration surrounding the needle portions to a collapsed configuration (e.g. in the form of an elastic rubber cover as shown or a telescoping arrangement) wherein the needle portions extend through the cover portions (see below). In the shown embodiment the cover portions are in the form of a bellows and a rounded cylinder, however, they may have any configuration allowing them to collapse. The two cover portions are connected by an intermediate portion 225 which in combination with the carrier forms a conduit providing fluid communication between the first and second enclosures formed by the two cover portions, the intermediate portion comprising a window 226 closed by a paper sheet 227. The paper sheet is penetratable to sterilizing gases (e.g. water vapour or ethylene gas) yet provides a sterility barrier for the encapsulated, this allowing sterilization of the enclosed needle.
  • Figs. 3A and 3B show cross-sectionals view of the needle unit 200 incorporated in a drug delivery device 250. The drug delivery device comprises a base plate 251 with a lower skin mountable surface 252 and an aperture 253, a housing member 255 forming a secondary reservoir 256 containing a drive fluid (see description of the fig. 7D embodiment below) and in which a flexible, bag-like drug reservoir 260 is arranged, the drug reservoir comprising a needle-penetratable elastomeric septum 261. The needle unit is pivotally connected to the housing member, the carrier 230 thereby forming a lid member. In the shown embodiment the lid member is part of a relatively small needle unit, however, the lid may also be formed integrally with the housing member, the two portions being connected by e.g. a film hinge, in which case the needle unit would incorporate a portion of the drug delivery device.
  • Fig. 3A shows the delivery device in an initial state in which both of the needle portions 213, 214 are sterilely enclosed within the collapsible cover portions 221, 222. Fig. 3B shows the delivery in a state of use in which the lid has been moved into locking engagement with the housing member (by means of the hook members, see fig. 2A). During this operation the first needle portions is moved through the aperture in the base plate, thereby penetrating the skin of the user when the delivery device has been mounted on a skin surface, and the second needle portion penetrates the reservoir septum to thereby establish fluid communication between the reservoir and the needle. As appears from the figure, during this operation the cover portions 221, 222 collapses as they are moved into engagement with the base plate respectively the septum, the pointed needle portions thereby penetrating the covers. After use the movement of the needle unit may be reversed to thereby withdraw the used needle into the device and de-connect the needle from the reservoir to thereby stop the flow and/or prevent leakage.
  • Figs. 4A and 4B show in a perspective view the same situations as in figs. 3A and 3B, with the difference that the base member comprises an adhesive patch portion.
  • Fig. 5 shows a further embodiment of a needle unit 300 adapted to be connected to a housing member by a hinge allowing the needle unit to pivot corresponding to a pivoting axis defined by the hinge. More specifically, the needle unit comprises a needle carrier 351 having a cylindrical hinge portion 354 defining the pivoting axis, and an arm member 353 extending perpendicularly from the hinge portion in respect of the pivoting axis. On a lower surface of the arm member a biasing means is arranged in the form of a leaf spring member 355 adapted to engage a portion of the housing. The needle carrier carries a needle having first and second pointed portions 313, 314 arranged substantially corresponding to the needle of the needle unit shown in fig. 1, i.e. with the second needle portion arranged correspondingly to the pivoting axis.
  • The two needle portions are provided with individual encapsulating cover members 321, 322 maintaining the needle portions in a sterile condition. The cover members may be hollow members being partly or fully made from materials penetratable to sterilizing gases, or they may be in the form of "solid" foam members being either elastic collapsible or non-elastic crushable, such a foam material preferably being penetratable to sterilizing gases yet providing a sterility barrier for the encapsulated needle portions. A similar crushable cover is also discussed in US patent 6,126,637, however, for the present invention it is important that such a cover fully meets the relevant requirements as to providing a sterility barrier.
  • Figs. 6A-6E show perspective views of the needle unit 301 (substantially corresponding to the needle unit 300 described above) mounted in a drug delivery device 350, however, for illustrative purposes, the needle unit is shown without encapsulating cover members.
  • More specifically, in figs. 6A-6E is shown a second embodiment of a drug delivery device 350, the device comprising an upper housing portion 360 and a lower base plate portion 370 having a mounting surface, the housing providing a cavity in which an actuation member 380 is slidingly received through an opening, the actuation element being moveable corresponding to a longitudinal direction. The device further comprises a reservoir 390 and the needle unit 301. The reservoir is adapted to contain a liquid drug and comprises in a situation of use an outlet in fluid communication with the infusion needle, and cooperate with expelling means (not shown for better illustrating the principles of the needle unit activation) for expelling a drug out of the reservoir and through the skin of the subject via the hollow needle. The reservoir and the expelling means are mounted on the actuation member and thus moveable relative to the housing. The reservoir comprises a needle-penetratable septum 391 adapted to cooperate with the second portion of the needle, the septum being arranged substantially corresponding to the pivoting axis, thereby allowing the needle unit to pivot substantially without non-rotational displacement of the inlet portion of the infusion needle relative to the septum.
  • The device also comprises an inserter spring 337 and a ramp member 347, the inserter spring being in the form of a thin rod, the ramp member being arranged to deflect the inserter spring upwards as well as sidewards. The ramp surface is somewhat longer and has a concave cross-sectional configuration, this allowing the rod spring to slide thereon without accidental disengagement when the actuation member 380 is pushed into the device. The ramp terminates in an obliquely oriented deflection wall 349 which will force the spring rod outwards when forced there against. The rod may be formed integrally with the actuation member or attached as a separate member, e.g. as a metal string. The needle unit comprises a separately formed engagement portion 357 projecting from the distal end of the carrier arm and arranged on the side of the ramp member just below the deflection wall.
  • In use, the delivery device is actuated by pushing the actuation member into the device whereby the rod slides up the ramp for subsequently being deflected from the ramp, thereby pivoting the needle unit from its initial position to a position in which the first needle portion extends from the lower surface of the delivery device. At the same time the reservoir is pushed into fluid communication with the second needle portion.
  • In the above-described embodiments a delivery device has been described comprising a reservoir, however, for better illustrating the principles of the present invention, the means for expelling a drug from the reservoir has been omitted in the figures. Such expelling means, which as the reservoir does not form part of the present invention in its basic form, may be of any type which would be suitable for arrangement within a skin-mountable drug delivery device. Further, as the needle of the present invention also may be in the form of a needle sensor, the interior of the medical device may comprise sensor means adapted to cooperate with the needle sensor.
  • In figs. 7A-7E examples of expelling means suitable for use with the present invention are shown schematically, however, these are merely examples, just as the shown arrangement of the individual components not necessarily are suitable for direct application in the above shown delivery devices. More specifically, fig. 7A shows a pump arrangement comprising a drug-containing cartridge 1010 forming a reservoir and having a distal closure member 1011 allowing a needle to be connected, and a piston 1015 slidingly arranged there within, a flexible toothed piston rod 1020 (for example as disclosed in US patent 6,302,869), an electric motor 1030 which via a worm-gear arrangement 1031 drives the piston rod to expel drug from the cartridge, the motor being controlled by control means 1040 and the energy for the control means and the motor being provided by a battery 1050. The pump may be activated when the needle is inserted (by means not shown) or by separate user-actuatable means (not shown) after the inserter has been detached form the delivery device.
  • Fig. 7B shows a pump arrangement comprising a drug-containing cartridge 1110 having distal and proximal closure members 1111, 1112, and a piston 1115 slidingly arranged there within, gas generating means 1120 in fluid communication with the interior of the cartridge via conduit 1121 for driving the piston to expel drug from the cartridge, the gas generating means being controlled by control means 1140 and the energy for the control means and the gas generation being provided by a battery 1150. The pump may be activated as indicated above. A detailed disclosure of such gas generating means for a drug delivery device can be found in e.g. US patent 5,858,001.
  • Fig. 7C shows a pump arrangement comprising a drug-containing cartridge 1210 having distal and proximal closure members 1211, 1212, and a piston slidingly 1215 arranged there within, an osmotic engine 1220 in fluid communication with the interior of the cartridge via conduit 1221 for driving the piston to expel drug from the cartridge. The osmotic engine comprises a first rigid reservoir 1225 containing a salt-solution and a second collapsible reservoir 1226 containing water, the two reservoirs being separated by a semi-permeable membrane 1227. When supplied to the user, the fluid connection 1228 between the second reservoir and the membrane is closed by a user-severable membrane (e.g. a weak weld) which, when severed, will allow the osmotic process to start as water is drawn from the second reservoir through the membrane and into the first reservoir. The pump may be activated as indicated above. A detailed disclosure of the osmotic drive principle can be found in e.g. US patent 5,169,390.
  • Fig. 7D shows a pump arrangement comprising a drug-containing flexible reservoir 1310 arranged within a rigid fluid-filled secondary reservoir 1311 in fluid communication with a primary reservoir 1320 through a conduit 1330 comprising a flow restrictor 1331. The primary reservoir is in the form of a cartridge with a moveable piston 1321 and contains a viscous drive fluid. A spring 1340 is arranged to act on the piston to drive fluid from the first to the second reservoir thereby expelling drug from the flexible reservoir when the latter is connected to an infusion needle (not shown). The flow rate will be determined by the pressure generated by the spring in the drive fluid, the viscosity of the drive fluid and the flow resistance in the flow restrictor (i.e. bleeding hole principle). The pump may be activated by straining the spring or by releasing a pre-stressed spring, either when the needle is inserted (by means not shown) or by separate user-actuatable means (not shown) after the inserter has been detached form the delivery device. An example of this principle used for drug infusion is known from DE 25 52 446. In an alternative configuration, the drug reservoir may be pressurized directly to expel the drug via a flow restrictor, e.g. as disclosed in US patent 6,074,369.
  • Fig. 7E shows a pump arrangement comprising a membrane pump 1430 having an outlet 1431 and control means 1440 for controlling the pump, the energy for the control means and the pump being provided by a battery 1450. The membrane pump is (in a situation of use) connected to a reservoir 1410 from which drug is sucked through the pump and expelled through the outlet. The reservoir may be provided with venting means or it may be in the form of a flexible, collapsible reservoir whereby venting means can be dispensed with. The pump may be activated when the needle is inserted (by means not shown) or by separate user-actuatable means (not shown) after the inserter has been detached form the delivery device.
  • In alternative embodiments (not shown) the first needle portion may be in the form of a (relatively soft) infusion cannula (e.g. Teflon ® cannula) and a therethrough arranged removable insertion needle. This type of cannula needle arrangement is well known from so-called infusion sets, such infusion sets typically being used to provide an infusion site in combination with (durable) infusion pumps.
  • In the above description of the preferred embodiments, the different structures and means providing the described functionality for the different components have been described to a degree to which the concept of the present invention will be apparent to the skilled reader. The detailed construction and specification for the different components are considered the object of a normal design procedure performed by the skilled person along the lines set out in the present specification.

Claims (23)

  1. A medical device (100), comprising:
    a mounting surface (133) adapted for application to the skin of a subject,
    a first needle portion (113) having a first pointed end adapted to penetrate the skin of the subject,
    a second needle portion (114) in fluid communication with the first needle portion and having a second end, and
    enclosure means (111, 121, 122) being transformable from an initial configuration encapsulating the first and second needle portions in an initial sterile state, to a second configuration in which the ends of the first and second needle portions are allowed to communicate with the exterior through the enclosure means,
    wherein the enclosure means does not enclose the mounting surface.
  2. A medical device as defined in claim 1, wherein the enclosure means is arranged in the vicinity of the first and second needle ends.
  3. A medical device as defined in claim 1, transformable between an initial state in which the first and second needle portions are encapsulated within the enclosure means in an initial sterile state, and a second state in which the second needle portion is allowed to communicate with the interior of a reservoir through a first portion of the enclosure means and the first pointed needle portion projects from the mounting surface through a second portion of the enclosure means.
  4. A medical device (250) as defined in any of claims 1-3, further comprising:
    a housing (251, 255) comprising the mounting surface (252),
    a reservoir (260) adapted to contain a liquid drug and comprising an outlet means (261) allowing the second needle portion to be arranged in fluid communication with an interior of the reservoir,
    expelling means (1340) for, in a situation of use, expelling a drug out of the reservoir and through the skin of the subject via the pointed end,
    wherein the medical device is transformable between an initial state in which the first and second needle portions are encapsulated by the enclosure means in an initial sterile state, and a second state in which the second needle portion (214) is in fluid communication with the interior of the reservoir through a second portion (222) of the enclosure means and the first pointed needle portion (213) projects from the mounting surface through a first portion (221) of the enclosure means.
  5. A medical device (100) as defined in claim 3, further comprising a pump unit (150) comprising:
    a reservoir adapted to contain a liquid drug and comprising an outlet means (155) allowing the second needle portion to be arranged in fluid communication with an interior of the reservoir,
    expelling means for, in a situation of use, expelling a drug out of the reservoir and through the skin of the subject via the pointed end, and
    wherein a receiving portion of the medical device and the reservoir unit further comprise mating coupling means (160) allowing the pump unit to be secured to the medical device, the mating coupling means preferably being releasable.
  6. A medical device as defined in claim 5, wherein fluid communication between the second needle portion and the reservoir is established when the pump unit is attached to the medical device.
  7. A medical device as defined in claim 5, wherein fluid communication between the second needle portion and the reservoir is established and the pointed end of the first needle portion is moved to a position in which it projects relative to the mounting surface when the pump unit is attached to the medical device.
  8. A medical device as defined in any of claims 4-7, wherein the reservoir (390) is moveable relative to the mounting surface between an initial position and a second position in which fluid communication is provided between the second needle portion and the interior of the reservoir.
  9. A medical device as defined in any of claims 1-7, wherein the first needle portion (113, 213) is moveable between an initial position in which the first needle portion is retracted relative to the mounting surface, and a second position in which the pointed end of the first needle portion projects relative to the mounting surface.
  10. A medical device as defined in any of claims 1-7, comprising a generally U-formed hollow needle (210) the legs thereof forming the first and second needle portions, wherein the U-formed hollow needle is moveable from an initial position, corresponding to the initial state and with the first needle portion retracted relative to the mounting surface, and a second position in which the second needle portion is in fluid communication with the interior of the reservoir and the pointed end of the first needle portion projects relative to the mounting surface.
  11. A medical device as defined in claim 10, wherein the U-formed hollow needle is connected relative to the mounting surface by a hinge (234) allowing the needle unit to pivot from the initial to the second position corresponding to a pivoting axis defined by the hinge, the pivoting axis being arranged substantially in parallel with the mounting surface.
  12. A medical device (350) as defined in any of claims 1-7, comprising a needle unit (301) forming the first and second needle portions,
    wherein the needle unit is connected relative to the mounting surface by a hinge allowing the needle unit to pivot from an initial to a second position corresponding to a pivoting axis defined by the hinge, the pivoting axis being arranged substantially in parallel with the mounting surface, the first needle portion extending generally perpendicular to the mounting surface, the second needle portion being arranged substantially corresponding to the pivoting axis, and
    whereby the needle unit is moveable between an initial position, corresponding to the initial state, in which the first needle portion is retracted relative to the mounting surface, and a second position in which the pointed end of the first needle portion projects relative to the mounting surface.
  13. A medical device as defined in any of the previous claims, wherein the mounting surface comprises adhesive means (132, 258) allowing the medical device to be attached to a skin surface of the user.
  14. A medical device as defined in any of the previous claims, wherein the mounting surface is provided with an aperture (253) through which at least a portion of the first needle portion may extend in a situation of use.
  15. A medical device as defined in any of the previous claims, comprising enclosure means arranged in the vicinity of the first and second needle ends, wherein the first and second needle portions are arranged non-coaxially.
  16. A medical device as defined in any claim 15, wherein at least a portion of the cover means is penetratable to sterilizing gases yet provides a sterility barrier for the encapsulated needle portions.
  17. A medical device as defined in claim 15, comprising enclosure means in the form of:
    first collapsible cover means (221, 321) encapsulating the first needle portion, the first cover means being collapsible from an initial configuration surrounding the first needle portion to a collapsed configuration wherein the first needle portion extends from the first cover means, and
    second collapsible cover means (222, 322) encapsulating the second needle portion, the second cover means being collapsible from an expanded configuration surrounding the second needle portion to a collapsed configuration wherein the second needle portion extends from the second cover means.
  18. A medical device as defined in claim 17, wherein at least a portion of the first and second cover means is penetratable to sterilizing gases yet provide a sterility barrier for the encapsulated needle portions.
  19. A medical device as defined in claim 15, wherein the first and second collapsible cover means define first and second enclosures housing the first respectively the second hollow needle portion, the needle unit further comprising a conduit (225) providing fluid communication between the first and second enclosures, the conduit comprising a portion penetratable to sterilizing gases yet providing a sterility barrier for the encapsulated needle portions.
  20. A medical device as defined in claim 19, wherein the first and second collapsible cover means and at least a portion of the conduit is provided by a common cover member (220).
  21. A medical device as defined in any of claims 17-19, further comprising a carrier (230, 351) to which the first and second needle portions as well as the first and second collapsible cover means are connected.
  22. A method of manufacturing a medical device (100), comprising the steps of:
    providing a needle unit (110) having a first needle portion with a first pointed end adapted to penetrate the skin of the subject, a second needle portion in fluid communication with the first needle portion and having a second end, and enclosure means encapsulating the first and second needle end portions in a sterile state,
    providing a base member (130) comprising a mounting surface adapted for application to the skin of a subject,
    assembling the needle unit and the base member to provide a medical device.
  23. A method of manufacturing a medical device, comprising the steps of:
    providing a needle unit (200, 301) having a first needle portion with a first pointed end adapted to penetrate the skin of the subject, a second needle portion in fluid communication with the first needle portion and having a second end, and enclosure means encapsulating the first and second needle end portions in a sterile state,
    providing a base member comprising a mounting surface (252, 370) adapted for application to the skin of a subject,
    providing a reservoir (260, 390) adapted to contain a liquid drug and having an outlet means allowing the second needle portion to be arranged in fluid communication with an interior of the reservoir,
    providing an expelling means for, in a situation of use, expelling a drug out of the reservoir and through the pointed end,
    assembling the needle unit, the base member, the reservoir and the expelling means to provide a medical device.
EP03388049A 2003-07-08 2003-07-08 Portable drug delivery device having an encapsulated needle Withdrawn EP1495775A1 (en)

Priority Applications (6)

Application Number Priority Date Filing Date Title
EP03388049A EP1495775A1 (en) 2003-07-08 2003-07-08 Portable drug delivery device having an encapsulated needle
AT04738960T ATE357939T1 (en) 2003-07-08 2004-06-29 PORTABLE MEDICINE DELIVERY DEVICE HAVING AN ENCAPSULATED NEEDLE
PCT/DK2004/000463 WO2005002649A1 (en) 2003-07-08 2004-06-29 Portable drug delivery device having an encapsulated needle
EP04738960A EP1646412B1 (en) 2003-07-08 2004-06-29 Portable drug delivery device having an encapsulated needle
DE602004005597T DE602004005597T2 (en) 2003-07-08 2004-06-29 PORTABLE MEDICAMENT DISPENSER WITH AN ENCAPSULATED NEEDLE
US11/326,550 US7780636B2 (en) 2003-07-08 2006-01-05 Portable drug delivery device having an encapsulated needle

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
EP03388049A EP1495775A1 (en) 2003-07-08 2003-07-08 Portable drug delivery device having an encapsulated needle

Publications (1)

Publication Number Publication Date
EP1495775A1 true EP1495775A1 (en) 2005-01-12

Family

ID=33442894

Family Applications (1)

Application Number Title Priority Date Filing Date
EP03388049A Withdrawn EP1495775A1 (en) 2003-07-08 2003-07-08 Portable drug delivery device having an encapsulated needle

Country Status (1)

Country Link
EP (1) EP1495775A1 (en)

Cited By (85)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2007071255A1 (en) * 2005-12-23 2007-06-28 Unomedical A/S Device for administration
US7708717B2 (en) 2005-09-26 2010-05-04 M2 Group Holdings, Inc. Operating an infusion pump system
US7713238B2 (en) 2005-04-06 2010-05-11 M2 Group Holdings, Inc. Medicine dispensing device
US7717903B2 (en) 2007-09-06 2010-05-18 M2 Group Holdings, Inc. Operating an infusion pump system
US7753879B2 (en) 2004-01-29 2010-07-13 M2 Group Holdings, Inc. Disposable medicine dispensing device
US7785288B2 (en) 2002-12-23 2010-08-31 Asante Solutions, Inc. Disposable, wearable insulin dispensing device, a combination of such a device and a programming controller and a method of controlling the operation of such a device
US7794426B2 (en) 2007-05-21 2010-09-14 Asante Solutions, Inc. Infusion pump system with contamination-resistant features
US7828528B2 (en) 2007-09-06 2010-11-09 Asante Solutions, Inc. Occlusion sensing system for infusion pumps
US7833196B2 (en) 2007-05-21 2010-11-16 Asante Solutions, Inc. Illumination instrument for an infusion pump
US7879026B2 (en) 2007-09-07 2011-02-01 Asante Solutions, Inc. Controlled adjustment of medicine dispensation from an infusion pump device
US7887511B2 (en) 2002-11-05 2011-02-15 Asante Solutions, Inc. Disposable wearable insulin dispensing device, a combination of such a device and a programming controller and a method of controlling the operation of such a device
US7892199B2 (en) 2007-05-21 2011-02-22 Asante Solutions, Inc. Occlusion sensing for an infusion pump
US7935105B2 (en) 2007-09-07 2011-05-03 Asante Solutions, Inc. Data storage for an infusion pump system
US7935076B2 (en) 2007-09-07 2011-05-03 Asante Solutions, Inc. Activity sensing techniques for an infusion pump system
US7938803B2 (en) 2005-09-26 2011-05-10 Asante Solutions, Inc. Dispensing fluid from an infusion pump system
US7981102B2 (en) 2007-05-21 2011-07-19 Asante Solutions, Inc. Removable controller for an infusion pump
US7985199B2 (en) 2005-03-17 2011-07-26 Unomedical A/S Gateway system
US8012126B2 (en) 2006-10-31 2011-09-06 Unomedical A/S Infusion set
US8057436B2 (en) 2005-09-26 2011-11-15 Asante Solutions, Inc. Dispensing fluid from an infusion pump system
US8062250B2 (en) 2004-08-10 2011-11-22 Unomedical A/S Cannula device
US8105279B2 (en) 2005-09-26 2012-01-31 M2 Group Holdings, Inc. Dispensing fluid from an infusion pump system
US8192394B2 (en) 2005-11-08 2012-06-05 Asante Solutions, Inc. Method and system for manual and autonomous control of an infusion pump
US8221355B2 (en) 2004-03-26 2012-07-17 Unomedical A/S Injection device for infusion set
US8246588B2 (en) 2007-07-18 2012-08-21 Unomedical A/S Insertion device with pivoting action
US8287514B2 (en) 2007-09-07 2012-10-16 Asante Solutions, Inc. Power management techniques for an infusion pump system
US8372039B2 (en) 2005-11-08 2013-02-12 Asante Solutions, Inc. Infusion pump system
US8409142B2 (en) 2005-09-26 2013-04-02 Asante Solutions, Inc. Operating an infusion pump system
US8430850B2 (en) 2007-07-03 2013-04-30 Unomedical A/S Inserter having bistable equilibrium states
US8439838B2 (en) 2006-06-07 2013-05-14 Unomedical A/S Inserter for transcutaneous sensor
US8454581B2 (en) 2011-03-16 2013-06-04 Asante Solutions, Inc. Infusion pump systems and methods
US8454557B1 (en) 2012-07-19 2013-06-04 Asante Solutions, Inc. Infusion pump system and method
US8454562B1 (en) 2012-07-20 2013-06-04 Asante Solutions, Inc. Infusion pump system and method
US8486003B2 (en) 2007-07-10 2013-07-16 Unomedical A/S Inserter having two springs
US8551046B2 (en) 2006-09-18 2013-10-08 Asante Solutions, Inc. Dispensing fluid from an infusion pump system
USD691258S1 (en) 2010-05-27 2013-10-08 Asante Solutions, Inc. Infusion pump
US8562590B2 (en) 2005-11-07 2013-10-22 Medingo Ltd. Systems and methods for sustained medical infusion and devices related thereto
US8562567B2 (en) 2009-07-30 2013-10-22 Unomedical A/S Inserter device with horizontal moving part
US8585657B2 (en) 2011-06-21 2013-11-19 Asante Solutions, Inc. Dispensing fluid from an infusion pump system
US8597244B2 (en) 2002-07-24 2013-12-03 Asante Solutions, Inc. Infusion pump system, an infusion pump unit and an infusion pump
US8790311B2 (en) 2006-06-09 2014-07-29 Unomedical A/S Mounting pad
US8808230B2 (en) 2011-09-07 2014-08-19 Asante Solutions, Inc. Occlusion detection for an infusion pump system
US8852152B2 (en) 2011-02-09 2014-10-07 Asante Solutions, Inc. Infusion pump systems and methods
US8945057B2 (en) 2006-08-02 2015-02-03 Unomedical A/S Cannula and delivery device
WO2015117913A1 (en) * 2014-02-05 2015-08-13 Sanofi Needle for administering a fluid
US9186480B2 (en) 2007-06-20 2015-11-17 Unomedical A/S Apparatus for making a catheter
US9211379B2 (en) 2006-02-28 2015-12-15 Unomedical A/S Inserter for infusion part and infusion part provided with needle protector
US9254373B2 (en) 2008-12-22 2016-02-09 Unomedical A/S Medical device comprising adhesive pad
US9415159B2 (en) 2010-03-30 2016-08-16 Unomedical A/S Medical device
US9427523B2 (en) 2012-12-10 2016-08-30 Bigfoot Biomedical, Inc. Infusion pump system and method
US9440051B2 (en) 2011-10-27 2016-09-13 Unomedical A/S Inserter for a multiplicity of subcutaneous parts
US9446187B2 (en) 2013-06-03 2016-09-20 Bigfoot Biomedical, Inc. Infusion pump system and method
US9446186B2 (en) 2013-03-01 2016-09-20 Bigfoot Biomedical, Inc. Operating an infusion pump system
US9457141B2 (en) 2013-06-03 2016-10-04 Bigfoot Biomedical, Inc. Infusion pump system and method
US9533092B2 (en) 2009-08-07 2017-01-03 Unomedical A/S Base part for a medication delivery device
US9561324B2 (en) 2013-07-19 2017-02-07 Bigfoot Biomedical, Inc. Infusion pump system and method
US9566384B2 (en) 2008-02-20 2017-02-14 Unomedical A/S Insertion device with horizontally moving part
EP3003438A4 (en) * 2013-05-31 2017-03-01 Valeritas, Inc. A fluid delivery device having an insertable prefilled cartridge
US9592336B2 (en) 2003-10-27 2017-03-14 Novo Nordisk A/S Medical skin mountable device
US9629901B2 (en) 2014-07-01 2017-04-25 Bigfoot Biomedical, Inc. Glucagon administration system and methods
US9724127B2 (en) 2010-09-27 2017-08-08 Unomedical A/S Insertion system and insertion kit
AU2015203703B2 (en) * 2010-05-20 2018-01-18 Becton, Dickinson And Company Drug delivery device
USD809134S1 (en) 2016-03-10 2018-01-30 Bigfoot Biomedical, Inc. Infusion pump assembly
US9878097B2 (en) 2015-04-29 2018-01-30 Bigfoot Biomedical, Inc. Operating an infusion pump system
US9919096B2 (en) 2014-08-26 2018-03-20 Bigfoot Biomedical, Inc. Infusion pump system and method
WO2018151890A1 (en) * 2017-02-17 2018-08-23 Amgen Inc. Drug delivery device with sterile fluid flowpath and related method of assembly
US10137246B2 (en) 2014-08-06 2018-11-27 Bigfoot Biomedical, Inc. Infusion pump assembly and method
USD836769S1 (en) 2016-12-12 2018-12-25 Bigfoot Biomedical, Inc. Insulin delivery controller
USD839294S1 (en) 2017-06-16 2019-01-29 Bigfoot Biomedical, Inc. Display screen with graphical user interface for closed-loop medication delivery
US10369288B2 (en) * 2015-03-15 2019-08-06 Norimoto Okabe Sealing container
US10369277B2 (en) 2005-09-12 2019-08-06 Unomedical A/S Invisible needle
US10426896B2 (en) 2016-09-27 2019-10-01 Bigfoot Biomedical, Inc. Medicine injection and disease management systems, devices, and methods
US10449294B1 (en) 2016-01-05 2019-10-22 Bigfoot Biomedical, Inc. Operating an infusion pump system
US10478552B2 (en) 2010-05-20 2019-11-19 Becton, Dickinson And Company Drug delivery device
US10569015B2 (en) 2013-12-02 2020-02-25 Bigfoot Biomedical, Inc. Infusion pump system and method
EP3760253A1 (en) * 2011-09-13 2021-01-06 UNL Holdings LLC Sterile fluid pathway connection to drug containers for drug delivery pumps
US10898643B2 (en) 2008-02-13 2021-01-26 Unomedical A/S Sealing between a cannula part and a fluid path
US10987468B2 (en) 2016-01-05 2021-04-27 Bigfoot Biomedical, Inc. Operating multi-modal medicine delivery systems
US11020526B2 (en) 2010-10-04 2021-06-01 Unomedical A/S Sprinkler cannula
US11058605B2 (en) * 2018-03-08 2021-07-13 Flex Ltd. Sterilization fluid path with barrier removal
US11096624B2 (en) 2016-12-12 2021-08-24 Bigfoot Biomedical, Inc. Alarms and alerts for medication delivery devices and systems
US11110261B2 (en) 2011-10-19 2021-09-07 Unomedical A/S Infusion tube system and method for manufacture
US11197689B2 (en) 2011-10-05 2021-12-14 Unomedical A/S Inserter for simultaneous insertion of multiple transcutaneous parts
US11260169B2 (en) 2013-03-14 2022-03-01 Bigfoot Biomedical, Inc. Infusion pump system and methods
US11389088B2 (en) 2017-07-13 2022-07-19 Bigfoot Biomedical, Inc. Multi-scale display of blood glucose information
US11865299B2 (en) 2008-08-20 2024-01-09 Insulet Corporation Infusion pump systems and methods

Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5814020A (en) * 1995-09-11 1998-09-29 Elan Medical Technlogies Limited Medicament delivery device
US5858001A (en) * 1995-12-11 1999-01-12 Elan Medical Technologies Limited Cartridge-based drug delivery device
US5957895A (en) * 1998-02-20 1999-09-28 Becton Dickinson And Company Low-profile automatic injection device with self-emptying reservoir
US6045534A (en) * 1997-10-27 2000-04-04 Sarcos, Inc. Disposable fluid injection module
US20020010423A1 (en) * 1997-06-16 2002-01-24 Elan Corporation Plc Pre-filled drug-delivery device and method of manufacture and assembly of same
US20020123719A1 (en) * 1998-11-13 2002-09-05 Elan Pharma International Limited Drug delivery systems and methods

Patent Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5814020A (en) * 1995-09-11 1998-09-29 Elan Medical Technlogies Limited Medicament delivery device
US5858001A (en) * 1995-12-11 1999-01-12 Elan Medical Technologies Limited Cartridge-based drug delivery device
US20020010423A1 (en) * 1997-06-16 2002-01-24 Elan Corporation Plc Pre-filled drug-delivery device and method of manufacture and assembly of same
US6045534A (en) * 1997-10-27 2000-04-04 Sarcos, Inc. Disposable fluid injection module
US5957895A (en) * 1998-02-20 1999-09-28 Becton Dickinson And Company Low-profile automatic injection device with self-emptying reservoir
US20020123719A1 (en) * 1998-11-13 2002-09-05 Elan Pharma International Limited Drug delivery systems and methods

Cited By (202)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US9463272B2 (en) 2002-07-24 2016-10-11 Bigfoot Biomedical, Inc. Infusion pump system, an infusion pump unit and an infusion pump
US8597244B2 (en) 2002-07-24 2013-12-03 Asante Solutions, Inc. Infusion pump system, an infusion pump unit and an infusion pump
US8961462B2 (en) 2002-07-24 2015-02-24 Asante Solutions, Inc. Infusion pump system, an infusion pump unit and an infusion pump
US9295777B2 (en) 2002-11-05 2016-03-29 Bigfoot Biomedical, Inc. Disposable wearable insulin dispensing device, a combination of such a device and a programming controller and a method of controlling the operation of such a device
US9308319B2 (en) 2002-11-05 2016-04-12 Bigfoot Biomedical, Inc. Wearable insulin dispensing device, and a combination of such a device and a programming controller
US7887511B2 (en) 2002-11-05 2011-02-15 Asante Solutions, Inc. Disposable wearable insulin dispensing device, a combination of such a device and a programming controller and a method of controlling the operation of such a device
US8795233B2 (en) 2002-11-05 2014-08-05 Asante Solutions, Inc. Disposable wearable insulin dispensing device, a combination of such a device and a programming controller and a method of controlling the operation of such a device
US8801655B2 (en) 2002-11-05 2014-08-12 Asante Solutions, Inc. Wearable insulin dispensing device, and a combination of such a device and a programming controller
US9757512B2 (en) 2002-11-05 2017-09-12 Bigfoot Biomedical, Inc. Wearable insulin dispensing device, and a combination of such a device and a programming controller
US7785288B2 (en) 2002-12-23 2010-08-31 Asante Solutions, Inc. Disposable, wearable insulin dispensing device, a combination of such a device and a programming controller and a method of controlling the operation of such a device
US8469920B2 (en) 2002-12-23 2013-06-25 Asante Solutions, Inc. Wearable insulin dispensing device, and a combination of such a device and a programming controller
US9592336B2 (en) 2003-10-27 2017-03-14 Novo Nordisk A/S Medical skin mountable device
US7753879B2 (en) 2004-01-29 2010-07-13 M2 Group Holdings, Inc. Disposable medicine dispensing device
US8221355B2 (en) 2004-03-26 2012-07-17 Unomedical A/S Injection device for infusion set
US8287516B2 (en) 2004-03-26 2012-10-16 Unomedical A/S Infusion set
US8062250B2 (en) 2004-08-10 2011-11-22 Unomedical A/S Cannula device
US7985199B2 (en) 2005-03-17 2011-07-26 Unomedical A/S Gateway system
US7713238B2 (en) 2005-04-06 2010-05-11 M2 Group Holdings, Inc. Medicine dispensing device
US10105483B2 (en) 2005-04-06 2018-10-23 Bigfoot Biomedical, Inc. Medicine dispensing device
US8226608B2 (en) 2005-04-06 2012-07-24 Asante Solutions, Inc. Medicine dispensing device
US8905995B2 (en) 2005-04-06 2014-12-09 Asante Solutions, Inc. Medicine dispensing device
US10369277B2 (en) 2005-09-12 2019-08-06 Unomedical A/S Invisible needle
US8747369B2 (en) 2005-09-26 2014-06-10 Asante Solutions, Inc. Dispensing fluid from an infusion pump system
US7776030B2 (en) 2005-09-26 2010-08-17 Asante Solutions, Inc. Operating an infusion pump system
US7981084B2 (en) 2005-09-26 2011-07-19 Asante Solutions, Inc. Operating an infusion pump system
US10307536B2 (en) 2005-09-26 2019-06-04 Bigfoot Biomedical, Inc. Operating an infusion pump system
US8696633B2 (en) 2005-09-26 2014-04-15 Asante Solutions, Inc. Operating an infusion pump system
US8057436B2 (en) 2005-09-26 2011-11-15 Asante Solutions, Inc. Dispensing fluid from an infusion pump system
US7938803B2 (en) 2005-09-26 2011-05-10 Asante Solutions, Inc. Dispensing fluid from an infusion pump system
US8105279B2 (en) 2005-09-26 2012-01-31 M2 Group Holdings, Inc. Dispensing fluid from an infusion pump system
US10064993B2 (en) 2005-09-26 2018-09-04 Bigfoot Biomedical, Inc. Dispensing fluid from an infusion pump system
US7708717B2 (en) 2005-09-26 2010-05-04 M2 Group Holdings, Inc. Operating an infusion pump system
US8622966B2 (en) 2005-09-26 2014-01-07 Asante Solutions, Inc. Operating an infusion pump system
US10603431B2 (en) 2005-09-26 2020-03-31 Bigfoot Biomedical, Inc. Dispensing fluid from an infusion pump system
US9872957B2 (en) 2005-09-26 2018-01-23 Bigfoot Biomedical, Inc. Operating an infusion pump system
US9814830B2 (en) 2005-09-26 2017-11-14 Bigfoot Biomedical, Inc. Dispensing fluid from an infusion pump system
US7794428B2 (en) 2005-09-26 2010-09-14 Asante Solutions, Inc. Operating an infusion pump system
US8480623B2 (en) 2005-09-26 2013-07-09 Asante Solutions, Inc. Method for dispensing fluid from an infusion pump system
US8282601B2 (en) 2005-09-26 2012-10-09 Asante Solutions, Inc. Dispensing fluid from an infusion pump system
US9539388B2 (en) 2005-09-26 2017-01-10 Bigfoot Biomedical, Inc. Operating an infusion pump system
US7922708B2 (en) 2005-09-26 2011-04-12 Asante Solutions, Inc. Operating an infusion pump system
US7887512B2 (en) 2005-09-26 2011-02-15 Asante Solutions, Inc. Operating an infusion pump system
US9517301B2 (en) 2005-09-26 2016-12-13 Bigfoot Biomedical, Inc. Operating an infusion pump system
US8747368B2 (en) 2005-09-26 2014-06-10 Asante Solutions, Inc. Dispensing fluid from an infusion pump system
US8409142B2 (en) 2005-09-26 2013-04-02 Asante Solutions, Inc. Operating an infusion pump system
US7789859B2 (en) 2005-09-26 2010-09-07 Asante Solutions, Inc. Operating an infusion pump system
US9314569B2 (en) 2005-09-26 2016-04-19 Bigfoot Biomedical, Inc. Dispensing fluid from an infusion pump system
US7794427B2 (en) 2005-09-26 2010-09-14 Asante Solutions, Inc. Operating an infusion pump system
US8562590B2 (en) 2005-11-07 2013-10-22 Medingo Ltd. Systems and methods for sustained medical infusion and devices related thereto
US9039679B2 (en) 2005-11-07 2015-05-26 Roche Diagnostics Operations, Inc. Systems and methods for sustained medical infusion and devices related thereto
EP1945285B2 (en) 2005-11-07 2020-12-23 Roche Diagnostics GmbH Modular portable infusion pump
US8372039B2 (en) 2005-11-08 2013-02-12 Asante Solutions, Inc. Infusion pump system
US8679060B2 (en) 2005-11-08 2014-03-25 Asante Solutions, Inc. Infusion pump system
US8475408B2 (en) 2005-11-08 2013-07-02 Asante Solutions, Inc. Infusion pump system
US8192394B2 (en) 2005-11-08 2012-06-05 Asante Solutions, Inc. Method and system for manual and autonomous control of an infusion pump
US9205192B2 (en) 2005-11-08 2015-12-08 Bigfoot Biomedical, Inc. Method and system for manual and autonomous control of an infusion pump
US9114209B2 (en) 2005-11-08 2015-08-25 Bigfoot Biomedical, Inc. Method and system for manual and autonomous control of an infusion pump
US8430847B2 (en) 2005-11-08 2013-04-30 Asante Solutions, Inc. Infusion pump system
WO2007071255A1 (en) * 2005-12-23 2007-06-28 Unomedical A/S Device for administration
US8303549B2 (en) 2005-12-23 2012-11-06 Unomedical A/S Injection device
US9278173B2 (en) 2005-12-23 2016-03-08 Unomedical A/S Device for administration
EP2130560A2 (en) 2005-12-23 2009-12-09 Unomedical A/S device for administration
US9211379B2 (en) 2006-02-28 2015-12-15 Unomedical A/S Inserter for infusion part and infusion part provided with needle protector
US8439838B2 (en) 2006-06-07 2013-05-14 Unomedical A/S Inserter for transcutaneous sensor
US8790311B2 (en) 2006-06-09 2014-07-29 Unomedical A/S Mounting pad
US8945057B2 (en) 2006-08-02 2015-02-03 Unomedical A/S Cannula and delivery device
US8551046B2 (en) 2006-09-18 2013-10-08 Asante Solutions, Inc. Dispensing fluid from an infusion pump system
US8012126B2 (en) 2006-10-31 2011-09-06 Unomedical A/S Infusion set
US9480793B2 (en) 2007-05-21 2016-11-01 Bigfoot Biomedical, Inc. Occlusion sensing for an infusion pump
US7833196B2 (en) 2007-05-21 2010-11-16 Asante Solutions, Inc. Illumination instrument for an infusion pump
US8211062B2 (en) 2007-05-21 2012-07-03 Asante Solutions, Inc. Illumination instrument for an infusion pump
US9717849B2 (en) 2007-05-21 2017-08-01 Bigfoot Biomedical, Inc. Occlusion sensing for an infusion pump
US9474854B2 (en) 2007-05-21 2016-10-25 Bigfoot Biomedical, Inc. Occlusion sensing for an infusion pump
US9440021B2 (en) 2007-05-21 2016-09-13 Bigfoot Biomedical, Inc. Removable controller for an infusion pump
US7794426B2 (en) 2007-05-21 2010-09-14 Asante Solutions, Inc. Infusion pump system with contamination-resistant features
US8152765B2 (en) 2007-05-21 2012-04-10 Asante Solutions, Inc. Infusion pump system with contamination-resistant features
US8834420B2 (en) 2007-05-21 2014-09-16 Asante Solutions, Inc. Illumination instrument for an infusion pump
US8852141B2 (en) 2007-05-21 2014-10-07 Asante Solutions, Inc. Occlusion sensing for an infusion pump
US8454575B2 (en) 2007-05-21 2013-06-04 Asante Solutions, Inc. Illumination instrument for an infusion pump
US9962482B2 (en) 2007-05-21 2018-05-08 Bigfoot Biomedical, Inc. Removable controller for an infusion pump
US7892199B2 (en) 2007-05-21 2011-02-22 Asante Solutions, Inc. Occlusion sensing for an infusion pump
US8641673B2 (en) 2007-05-21 2014-02-04 Asante Solutions, Inc. Removable controller for an infusion pump
US7981102B2 (en) 2007-05-21 2011-07-19 Asante Solutions, Inc. Removable controller for an infusion pump
US8647302B2 (en) 2007-05-21 2014-02-11 Asante Solutions, Inc. Infusion pump system with contamination-resistant features
US9320869B2 (en) 2007-06-20 2016-04-26 Unomedical A/S Apparatus for making a catheter
US9186480B2 (en) 2007-06-20 2015-11-17 Unomedical A/S Apparatus for making a catheter
US8430850B2 (en) 2007-07-03 2013-04-30 Unomedical A/S Inserter having bistable equilibrium states
US8486003B2 (en) 2007-07-10 2013-07-16 Unomedical A/S Inserter having two springs
US8246588B2 (en) 2007-07-18 2012-08-21 Unomedical A/S Insertion device with pivoting action
US7828528B2 (en) 2007-09-06 2010-11-09 Asante Solutions, Inc. Occlusion sensing system for infusion pumps
US7717903B2 (en) 2007-09-06 2010-05-18 M2 Group Holdings, Inc. Operating an infusion pump system
US8109921B2 (en) 2007-09-06 2012-02-07 Asante Solutions, Inc. Operating a portable medical device
US11000645B2 (en) 2007-09-06 2021-05-11 Bigfoot Biomedical, Inc. Operating a portable medical device
US10226572B2 (en) 2007-09-06 2019-03-12 Bigfoot Biomedical, Inc. Operating a portable medical device
US8870853B2 (en) 2007-09-06 2014-10-28 Asante Solutions, Inc. Operating a portable medical device
US8211093B2 (en) 2007-09-07 2012-07-03 Asante Solutions, Inc. Data storage for an infusion pump system
US7935105B2 (en) 2007-09-07 2011-05-03 Asante Solutions, Inc. Data storage for an infusion pump system
US8622990B2 (en) 2007-09-07 2014-01-07 Asante Solutions, Inc. Activity sensing techniques for an infusion pump system
US9254362B2 (en) 2007-09-07 2016-02-09 Bigfoot Biomedical, Inc. Activity sensing techniques for an infusion pump system
US7879026B2 (en) 2007-09-07 2011-02-01 Asante Solutions, Inc. Controlled adjustment of medicine dispensation from an infusion pump device
US9381302B2 (en) 2007-09-07 2016-07-05 Bigfoot Biomedical, Inc. User profile backup system for an infusion pump device
US10632257B2 (en) 2007-09-07 2020-04-28 Bigfoot Biomedical, Inc. Activity sensing techniques for an infusion pump system
US9415158B2 (en) 2007-09-07 2016-08-16 Bigfoot Biomedical, Inc. Power management techniques for an infusion pump system
US10117993B2 (en) 2007-09-07 2018-11-06 Bigfoot Biomedical, Inc. Activity sensing techniques for an infusion pump system
US8032226B2 (en) 2007-09-07 2011-10-04 Asante Solutions, Inc. User profile backup system for an infusion pump device
US8685002B2 (en) 2007-09-07 2014-04-01 Asante Solutions, Inc. Data storage for an infusion pump system
US8287514B2 (en) 2007-09-07 2012-10-16 Asante Solutions, Inc. Power management techniques for an infusion pump system
US11241534B2 (en) 2007-09-07 2022-02-08 Bigfoot Biomedical, Inc. Power management techniques for an infusion pump system
US8894628B2 (en) 2007-09-07 2014-11-25 Asante Solutions, Inc. Activity sensing techniques for an infusion pump system
US8551070B2 (en) 2007-09-07 2013-10-08 Asante Solutions, Inc. User profile backup system for an infusion pump device
US7935076B2 (en) 2007-09-07 2011-05-03 Asante Solutions, Inc. Activity sensing techniques for an infusion pump system
US9522232B2 (en) 2007-09-07 2016-12-20 Bigfoot Biomedical, Inc. Data storage for an infusion pump system
US10226575B2 (en) 2007-09-07 2019-03-12 Bigfoot Biomedical, Inc. Power management techniques for an infusion pump system
US8328754B2 (en) 2007-09-07 2012-12-11 Asante Solutions, Inc. Activity sensing techniques for an infusion pump system
US10898643B2 (en) 2008-02-13 2021-01-26 Unomedical A/S Sealing between a cannula part and a fluid path
US9566384B2 (en) 2008-02-20 2017-02-14 Unomedical A/S Insertion device with horizontally moving part
US10376637B2 (en) 2008-02-20 2019-08-13 Unomedical A/S Insertion device with horizontally moving part
US11865299B2 (en) 2008-08-20 2024-01-09 Insulet Corporation Infusion pump systems and methods
US9254373B2 (en) 2008-12-22 2016-02-09 Unomedical A/S Medical device comprising adhesive pad
US8562567B2 (en) 2009-07-30 2013-10-22 Unomedical A/S Inserter device with horizontal moving part
US9533092B2 (en) 2009-08-07 2017-01-03 Unomedical A/S Base part for a medication delivery device
US11786653B2 (en) 2010-03-30 2023-10-17 Unomedical A/S Insertion device
US9415159B2 (en) 2010-03-30 2016-08-16 Unomedical A/S Medical device
AU2015203703B2 (en) * 2010-05-20 2018-01-18 Becton, Dickinson And Company Drug delivery device
US11623037B2 (en) 2010-05-20 2023-04-11 Becton, Dickinson And Company Drug delivery device
US11202857B2 (en) 2010-05-20 2021-12-21 Becton, Dickinson And Company Drug delivery device
US10478552B2 (en) 2010-05-20 2019-11-19 Becton, Dickinson And Company Drug delivery device
USD691258S1 (en) 2010-05-27 2013-10-08 Asante Solutions, Inc. Infusion pump
US9724127B2 (en) 2010-09-27 2017-08-08 Unomedical A/S Insertion system and insertion kit
US11020526B2 (en) 2010-10-04 2021-06-01 Unomedical A/S Sprinkler cannula
US8852152B2 (en) 2011-02-09 2014-10-07 Asante Solutions, Inc. Infusion pump systems and methods
US9259529B2 (en) 2011-02-09 2016-02-16 Bigfoot Biomedical, Inc. Infusion pump systems and methods
US9132234B2 (en) 2011-03-16 2015-09-15 Bigfoot Biomedical, Inc. Infusion pump systems and methods
US10576204B2 (en) 2011-03-16 2020-03-03 Bigfoot Biomedical, Inc. Infusion pump systems and methods
US8454581B2 (en) 2011-03-16 2013-06-04 Asante Solutions, Inc. Infusion pump systems and methods
US9801997B2 (en) 2011-03-16 2017-10-31 Bigfoot Biomedical, Inc. Infusion pump systems and methods
US8585657B2 (en) 2011-06-21 2013-11-19 Asante Solutions, Inc. Dispensing fluid from an infusion pump system
US9610404B2 (en) 2011-09-07 2017-04-04 Bigfoot Biomedical, Inc. Method for occlusion detection for an infusion pump system
US8808230B2 (en) 2011-09-07 2014-08-19 Asante Solutions, Inc. Occlusion detection for an infusion pump system
US11484644B2 (en) 2011-09-13 2022-11-01 Unl Holdings Llc Sterile fluid pathway connection to drug containers for drug delivery pumps
EP3760253A1 (en) * 2011-09-13 2021-01-06 UNL Holdings LLC Sterile fluid pathway connection to drug containers for drug delivery pumps
US11197689B2 (en) 2011-10-05 2021-12-14 Unomedical A/S Inserter for simultaneous insertion of multiple transcutaneous parts
US11110261B2 (en) 2011-10-19 2021-09-07 Unomedical A/S Infusion tube system and method for manufacture
US11684767B2 (en) 2011-10-19 2023-06-27 Unomedical A/S Infusion tube system and method for manufacture
US9440051B2 (en) 2011-10-27 2016-09-13 Unomedical A/S Inserter for a multiplicity of subcutaneous parts
US8454557B1 (en) 2012-07-19 2013-06-04 Asante Solutions, Inc. Infusion pump system and method
US9545476B2 (en) 2012-07-19 2017-01-17 Bigfoot Biomedical, Inc. Infusion pump system and method
US8945044B2 (en) 2012-07-19 2015-02-03 Asante Solutions, Inc. Infusion pump system and method
US8454562B1 (en) 2012-07-20 2013-06-04 Asante Solutions, Inc. Infusion pump system and method
US9517300B2 (en) 2012-07-20 2016-12-13 Bigfoot Biomedical, Inc. Pump system and method
US9427523B2 (en) 2012-12-10 2016-08-30 Bigfoot Biomedical, Inc. Infusion pump system and method
US10232108B2 (en) 2012-12-10 2019-03-19 Bigfoot Biomedical, Inc. Infusion pump system and method
US11191891B2 (en) 2012-12-10 2021-12-07 Bigfoot Biomedical, Inc. Infusion pump system and method
US9446186B2 (en) 2013-03-01 2016-09-20 Bigfoot Biomedical, Inc. Operating an infusion pump system
US10661007B2 (en) 2013-03-01 2020-05-26 Bigfoot Biomedical, Inc. Operating an infusion pump system
US11260169B2 (en) 2013-03-14 2022-03-01 Bigfoot Biomedical, Inc. Infusion pump system and methods
US11660387B2 (en) 2013-05-31 2023-05-30 Mannkind Corporation Fluid delivery device having an insertable prefilled cartridge
EP3003438A4 (en) * 2013-05-31 2017-03-01 Valeritas, Inc. A fluid delivery device having an insertable prefilled cartridge
EP3574943B1 (en) 2013-05-31 2021-06-30 Zealand Pharma A/S A fluid delivery device having an insertable prefilled cartridge
US10596313B2 (en) 2013-05-31 2020-03-24 Valeritas, Inc Fluid delivery device having an insertable prefilled cartridge
CN108704191A (en) * 2013-05-31 2018-10-26 瓦莱里塔斯公司 Fluid delivery system with the pre-filled cylinder of insertable
EP3574943A1 (en) * 2013-05-31 2019-12-04 Valeritas, Inc. A fluid delivery device having an insertable prefilled cartridge
US10716895B2 (en) 2013-06-03 2020-07-21 Bigfoot Biomedical, Inc. Infusion pump system and method
US9457141B2 (en) 2013-06-03 2016-10-04 Bigfoot Biomedical, Inc. Infusion pump system and method
US9446187B2 (en) 2013-06-03 2016-09-20 Bigfoot Biomedical, Inc. Infusion pump system and method
US9956339B2 (en) 2013-06-03 2018-05-01 Bigfoot Biomedical, Inc. Infusion pump system and method
US11147914B2 (en) 2013-07-19 2021-10-19 Bigfoot Biomedical, Inc. Infusion pump system and method
US10207047B2 (en) 2013-07-19 2019-02-19 Bigfoot Biomedical, Inc. Infusion pump system and method
US9561324B2 (en) 2013-07-19 2017-02-07 Bigfoot Biomedical, Inc. Infusion pump system and method
US10569015B2 (en) 2013-12-02 2020-02-25 Bigfoot Biomedical, Inc. Infusion pump system and method
US11464906B2 (en) 2013-12-02 2022-10-11 Bigfoot Biomedical, Inc. Infusion pump system and method
JP2017505180A (en) * 2014-02-05 2017-02-16 サノフイ Needle for dispensing fluid
WO2015117913A1 (en) * 2014-02-05 2015-08-13 Sanofi Needle for administering a fluid
US20170165418A1 (en) * 2014-02-05 2017-06-15 Sanofi Needle for administering a fluid
CN106132463A (en) * 2014-02-05 2016-11-16 赛诺菲 For feeding the pin of fluid
US10245376B2 (en) 2014-02-05 2019-04-02 Sanofi Assembly including a needle for administering a fluid
US10549037B2 (en) 2014-07-01 2020-02-04 Bigfoot Biomedical, Inc. Glucagon administration system and methods
US9629901B2 (en) 2014-07-01 2017-04-25 Bigfoot Biomedical, Inc. Glucagon administration system and methods
US10137246B2 (en) 2014-08-06 2018-11-27 Bigfoot Biomedical, Inc. Infusion pump assembly and method
US10994078B2 (en) 2014-08-06 2021-05-04 Bigfoot Biomedical, Inc. Infusion pump assembly and method
US9919096B2 (en) 2014-08-26 2018-03-20 Bigfoot Biomedical, Inc. Infusion pump system and method
US10661008B2 (en) 2014-08-26 2020-05-26 Bigfoot Biomedical, Inc. Infusion pump system and method
US10369288B2 (en) * 2015-03-15 2019-08-06 Norimoto Okabe Sealing container
US11554219B2 (en) * 2015-03-15 2023-01-17 Norimoto Okabe Sealing container
US20190290853A1 (en) * 2015-03-15 2019-09-26 Norimoto Okabe Sealing container
US9878097B2 (en) 2015-04-29 2018-01-30 Bigfoot Biomedical, Inc. Operating an infusion pump system
US10603433B2 (en) 2015-04-29 2020-03-31 Bigfoot Biomedical, Inc. Operating an infusion pump system
US11471598B2 (en) 2015-04-29 2022-10-18 Bigfoot Biomedical, Inc. Operating an infusion pump system
US10449294B1 (en) 2016-01-05 2019-10-22 Bigfoot Biomedical, Inc. Operating an infusion pump system
US10987468B2 (en) 2016-01-05 2021-04-27 Bigfoot Biomedical, Inc. Operating multi-modal medicine delivery systems
USD809134S1 (en) 2016-03-10 2018-01-30 Bigfoot Biomedical, Inc. Infusion pump assembly
US11806514B2 (en) 2016-09-27 2023-11-07 Bigfoot Biomedical, Inc. Medicine injection and disease management systems, devices, and methods
US11229751B2 (en) 2016-09-27 2022-01-25 Bigfoot Biomedical, Inc. Personalizing preset meal sizes in insulin delivery system
US10426896B2 (en) 2016-09-27 2019-10-01 Bigfoot Biomedical, Inc. Medicine injection and disease management systems, devices, and methods
USD836769S1 (en) 2016-12-12 2018-12-25 Bigfoot Biomedical, Inc. Insulin delivery controller
US11096624B2 (en) 2016-12-12 2021-08-24 Bigfoot Biomedical, Inc. Alarms and alerts for medication delivery devices and systems
US11752258B2 (en) 2017-02-17 2023-09-12 Amgen Inc. Drug delivery device with sterile fluid flowpath and related method of assembly
WO2018151890A1 (en) * 2017-02-17 2018-08-23 Amgen Inc. Drug delivery device with sterile fluid flowpath and related method of assembly
USD852837S1 (en) 2017-06-16 2019-07-02 Bigfoot Biomedical, Inc. Display screen with graphical user interface for closed-loop medication delivery
USD839294S1 (en) 2017-06-16 2019-01-29 Bigfoot Biomedical, Inc. Display screen with graphical user interface for closed-loop medication delivery
US11389088B2 (en) 2017-07-13 2022-07-19 Bigfoot Biomedical, Inc. Multi-scale display of blood glucose information
US11058605B2 (en) * 2018-03-08 2021-07-13 Flex Ltd. Sterilization fluid path with barrier removal

Similar Documents

Publication Publication Date Title
EP1646412B1 (en) Portable drug delivery device having an encapsulated needle
EP1495775A1 (en) Portable drug delivery device having an encapsulated needle
US7981085B2 (en) Internal needle inserter
US7628770B2 (en) Pivotable needle unit
US8029469B2 (en) External inserter for transcutaneous device
US20080215006A1 (en) Medical Device with Transcutaneous Cannula Device
US8740851B2 (en) Integrated package
US7955297B2 (en) Retraction means for transcutaneous device
US9592336B2 (en) Medical skin mountable device
US20060264835A1 (en) Medical skin mountable device
US20090054866A1 (en) Transcutaneous Device Assembly
WO2005039673A2 (en) Medical injection device mountable to the skin
US20100100048A1 (en) Medical Skin Mountable Device
EP2179754B1 (en) Medical injection device mountable to the skin
US20110259774A1 (en) Cover with device actuation feature

Legal Events

Date Code Title Description
PUAI Public reference made under article 153(3) epc to a published international application that has entered the european phase

Free format text: ORIGINAL CODE: 0009012

AK Designated contracting states

Kind code of ref document: A1

Designated state(s): AT BE BG CH CY CZ DE DK EE ES FI FR GB GR HU IE IT LI LU MC NL PT RO SE SI SK TR

AX Request for extension of the european patent

Extension state: AL LT LV MK

AKX Designation fees paid
REG Reference to a national code

Ref country code: DE

Ref legal event code: 8566

STAA Information on the status of an ep patent application or granted ep patent

Free format text: STATUS: THE APPLICATION IS DEEMED TO BE WITHDRAWN

18D Application deemed to be withdrawn

Effective date: 20050713